Good Samaritan-Liberal

Location & what’s nearby

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Nearest of each type, straight-line distance. Hospitals come from the CMS Hospital General Information registry; everything else from Overture Maps (public data). Hospital and park hours are typical — call ahead to confirm.

Quality measures — how residents actually fare

Quality-measure stars summarize outcomes CMS tracks from the assessments each home submits — avoidable hospitalizations and ER visits, falls with injury, pressure ulcers, unplanned weight loss, and long-term antipsychotic use. Because the underlying data is self-reported, weigh a high score against the independent inspection record. Long-stay = permanent residents; short-stay = rehab and post-hospital stays.

Short-stay rehab — if you are coming here from a hospital

Arriving from a hospital right now? Read the discharge guide → — your appeal rights, how to slow a rushed discharge, and what to ask about the numbers below.

42.8% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — which CMS reads as no different from the national rate. This is CMS’s risk-adjusted rate over 40 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 35.7% of this home’s Medicare short-stay residents left it at or above the ability to care for themselves and move around that CMS predicted for them, across 28 stays in Oct 2024–Sep 2025. The median of the 11,061 homes CMS publishes this for is 56.6%. Read it beside the getting-home figure, not instead of it: unlike the two measures above, CMS makes no better-or-worse call on this one and publishes no confidence interval for it, so this is a comparison and not a verdict — but it is the short-stay measure that separates homes most, and the one to ask about.

Therapy staffing: this home’s payroll records show 0.12 therapist hours per resident per day in 2026Q1 — more than 7% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 108% of this home’s weekday level — it runs therapy at close to weekday levels right through the weekend. The median home that reports therapy runs 13% — weekday-focused therapy is the industry norm, not a shortfall. But recovery does not pause on a Saturday: ask what the weekend actually looks like here.

This section is about rehab stays, not living here. Most of this page — the stars, the quality measures, the inspection record — describes the home the way a permanent resident experiences it. These figures describe the short Medicare stay after a hospital discharge: a hip, a stroke, a bad infection, six weeks and home. They are different residents, different staff, often a different wing. Therapy hours are per resident in the building, not per rehab patient — the count includes every long-stay resident, and they mostly get no therapy at all. So a home with a small rehab wing inside a large nursing population reads low here even if its rehab patients get plenty of therapy, and a mostly-rehab home reads high. Use it to compare homes doing similar work, ask what a rehab resident actually gets in a day, and remember that CMS does not publish therapy minutes per patient — nobody does.

Staffing

How full it usually is: this home is certified for 45 beds and averages 36.3 residents a day — about 81% occupied, or roughly 9 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 4.07 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.36 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.70 is at or above the 2.45-hour aide benchmark. What federal law does require today is unchanged: “sufficient” nursing staff for residents’ needs and an RN on duty at least 8 consecutive hours a day, 7 days a week (42 CFR 483.35). Those are judged by inspectors on site, not by these averages, so read this comparison alongside the inspection record rather than as a pass/fail.

Weekend coverage: total nurse staffing is 3.47 hrs/resident/day on weekends vs 4.31 on weekdays — 19% thinner on weekends. RN hours go from 1.50 to 1.01 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 33% is below the national median of 45%.

Payroll-based (PBJ) staffing hours, as reported for Jan–Mar 2026 (CMS PBJ CY2026Q1) — the most recent quarter CMS has published, so they can lag a change of operator or staffing agency. Higher is generally better. Registered-nurse coverage and weekend staffing are the numbers families most often overlook — an RN on site matters most when something goes wrong, and coverage usually thins on weekends. High turnover means residents rarely see the same caregiver twice. One caveat: these are hours as reported, not adjusted for how sick or heavy-care this home’s residents are. CMS separately publishes a case-mix-adjusted view; we show the reported hours. A home caring for higher-acuity residents needs more hours to deliver the same care, so compare these figures against homes doing similar work, and read them next to the inspection record rather than alone.

Inspection trend

Deficiencies are fewer than at the previous inspection — improving. Fewer citations over time suggests a home is fixing problems; a rising count is a warning sign — though two surveys are a short record, and survey teams differ. These counts are from the standard annual health survey only; the full citation list below may also include findings from complaint investigations, so the two won’t always add up.

Inspection deficiencies

State health-inspection citations, most serious first. Each carries an F-code (the federal rule it cites, e.g. F-684 = quality of care) and a letter A–L marking how serious and how widespread the problem was — we translate that grid into the plain tiers shown here. Wording is the official federal description.

Each letter is a CMS scope-severity level; highlighted ones are where this home has citations. A–C = no harm found; D–F = potential for harm; G–I = actual harm; J–L = immediate jeopardy. Within each band the later letter is the more widespread finding (an isolated G is one resident; a widespread I is a pattern), so rightward and downward is worse.

39 citations, most serious first. The 18 most serious are shown; the remaining 21 are one tap away and print in full.

• Immediate jeopardy · Lcited before2025-05-14 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — widespread
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents, with four residents sampled, including two residents reviewed for accidents related to smoking. Based on observation, interview, and record review, the facility failed to provide adequate supervision to ensure a safe environment free from accident hazards for all residents in the facility on [DATE] at approximately 01:20 PM when cognitively impaired Resident (R) 1 used a cigarette lighter to start a fire in her room; R1 set fire to her recliner. The facility smoke alarm sounded and Certified Nurse Aide (CNA) M and CNA N used the fire extinguisher to put out the fire. All residents were evacuated from the building and Law Enforcement (LE) arrived at the facility and inspected R1's room with Licensed Nurse (LN) G for the source of the fire. The inspection revealed R1 had multiple lighters in her room as well as other items belonging to other residents including medical equipment and scissors. The facility's failure to provide adequate supervision to ensure a safe…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Immediate jeopardy · K2024-07-24 · tag F0600 — failed to protect residents from abuse and neglect — pattern
  Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 37 residents with 17 residents sampled, which included three residents reviewed for abuse and neglect. Based on observation, interview, and record review, the facility deprived Resident (R) 7 care when the facility failed to ensure call lights were working appropriately to address the care needs of all residents residing on one of the four halls. On 07/16/24, during initial screening, multiple residents reported issues with call light response times and the surveyor observed a 42-minute call light response time for R 7. The facility reported they had issues with the call light system for months and used staff at the nurses' station to watch the system; however, on 07/17/24 at 07:25 AM, no staff were at the nurses' station watching the call light system. This failure placed the residents in immediate jeopardy. In addition, the facility failed to ensure staff identified and responded appropriately to all allegations of abuse and reporting for R21 who had a large bruise across her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-07-24 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 37 residents with 17 sampled for review. The sample included one cognitively intact dependent Resident (R) 17 for reporting an allegation of abuse. Based on observation, interview, and record review, the facility failed to report an allegation of sexual assault when R17 reported a sexual assault by 2 male perpetrators on 05/16/24. On 05/24/24 the resident went to the hospital for chest pain and reported to hospital staff she was sexually assaulted in the facility. On 05/29/24 the resident readmitted to the facility. The hospital notified the facility of resident's report of sexual assault 05/24/24 and on discharge 5/29/24. The facility failed to respond to R17's allegation of abuse, investigate the allegation of abuse, did not report to the state agency, and did not notify law enforcement until 07/16/24, when R17 reported the sexual assault to the surveyor during survey. This failure placed the resident in immediate jeopardy and at risk for continued negative impact on her…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-07-24 · tag F0610 — failed to investigate and act on abuse reports — isolated
  Respond appropriately to all alleged violations.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 37 residents with 17 sampled for review. The sample included one cognitively intact dependent Resident (R) 17 reviewed for investigating an allegation of abuse related to sexual assault. Based on observation, interview and record review, the facility failed to thoroughly investigate R17's allegations of sexual assault and failed to protect R17 from potential further sexual abuse. The resident reported sexual assault by 2 male perpetrators on 05/16/24. On 05/24/24 the resident went to the hospital for chest pain and reported to hospital staff she was sexually assaulted in the facility. On 05/29/24 the resident readmitted to the facility. The hospital notified the facility of resident's report of sexual assault 05/24/24 and on discharge 5/29/24. The facility failed to respond to R17's allegation of abuse, investigate the allegation of abuse, and did not notify law enforcement until 07/16/24 when R17 reported the sexual assault to the surveyor during survey. This failure placed the…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · J2024-07-24 · tag F0742 — isolated
  Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 37 residents, with 17 residents sampled, which included four residents reviewed for Trauma Informed Care. Based on observation, interview, and record review, the facility failed to acknowledge and respond appropriately to R17's allegations of sexual assault and her display of behaviors, which align to a trauma response, based on reasonable person concept, when the resident expressed feelings of fear, anger, and aggressiveness associated with her reported allegation of sexual assault while a resident of the facility. This failure placed R17 in Immediate Jeopardy (IJ) and at risk for untreated trauma and the negative impact to her mental, physical, and psychosocial well-being. Findings included: - Review of Resident (R) 17's undated Physician Orders, documentation included diagnoses of traumatic subdural hemorrhage (bleeding in the brain due to trauma), anxiety disorder, (mental or emotional reaction characterized by apprehension, uncertain and irrational fear), need for…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Immediate jeopardy · Jcited before2024-03-28 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY The facility reported a census of 40 residents, with four residents sampled, including three residents reviewed for risk of elopement (an incident in which a cognitively impaired resident with poor or impaired decision- making ability/safety awareness leaves the facility without the knowledge of staff). Based on observation, record review, and interview, the facility failed to provide adequate supervision and a safe environment, as free of accident hazards as possible, to prevent the elopement of cognitively impaired and independently mobile Resident (R)2. The facility staff knew R2 was an elopement risk and R2 had been upset and voiced she wanted to go home. The facility staff then left R 2 unsupervised near the front entrance. The facility staff had knowledge the front doors had malfunctioned and did not require a code to be entered to open the door, however, reported the WanderGuard (bracelet that sets off an alarm when residents wearing one attempt to exit the building without an escort) still functioned. On…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Past Non-Compliance
• Actual harm · G2026-06-24 · tag F0686 — failed to prevent and treat pressure sores (bedsores) — isolated
  Provide appropriate pressure ulcer care and prevent new ulcers from developing.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to identify and implement measures consistent with and in accordance with professional standards of practice to prevent the development of and promote the healing of pressure ulcers (localized injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure, or pressure in combination with shear and/or friction) for Resident (R) 9, who developed a facility acquired, unstageable, deep tissue injury to her right heel. The staff failed to monitor skin checks weekly, failed to ensure R9's heels were offloaded, and failed to ensure R9 received the required interventions including a low air loss mattress to prevent pressure ulcer development. Additionally, the facility failed to monitor R1's wound for two weeks. Findings included:- R9's Electronic Medical Record (EMR) revealed diagnoses of leukemia (malignant disease affecting bone marrow) and arthritis (inflammation of a joint characterized by pain, swelling,…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Actual harm · Gcited before2026-04-22 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the facility failed to ensure Resident (R) 1 remained free of accident hazards on 01/17/26 at approximately 07:30 AM, when R1 fell from a mechanical lift and struck his head. R1 sustained two hematomas (a collection of blood trapped in the tissues of the skin or in an organ, resulting from trauma) on the back of his head. Findings included:- R1's Electronic Health Record (EHR) included diagnoses of diabetes mellitus type 2 (DM2 - when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin), cerebral infarction (stroke - sudden death of brain cells due to lack of oxygen caused by impaired blood flow to the brain by blockage or rupture of an artery to the brain) hemiparesis (muscular weakness of one half of the body) and hemiplegia (paralysis of one side of the body) following cerebrovascular disease affecting right dominant side, and malignant (cancer) neoplasm (tumor) of the brain. R1's 01/08/26 Quarterly Minimum Data…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2026-06-24 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview and record review the facility failed to prepare and serve food under sanitary conditions to prevent the outbreak of foodborne bacteria.Findings included:- During an observation of meal preparation on 06/23/2026 at 04:15 PM, Dietary Staff CC donned gloves then used the gloved hands to open the refrigerator door, touched a soft round flatbread, added ground chicken, and rolled the contents of the flatbread into a burrito-like structure making a chicken wrap. Dietary Staff CC failed to change gloves and/or wash hands and proceeded to place three of the chicken wraps in a blender.During an interview on 06/24/2026 at 03:40 PM, Dietary Manager BB stated the dietary staff were very nervous during the observation and mistakes were made regarding the use of gloves. Dietary Manager BB stated staff did not utilize gloves or wash their hands properly during the observation.The facility's policy Hand washing and Glove Use Food Nutrition Services, dated 06/24/2026, was intended to provide guidelines regarding hand hygiene and glove use to reduce the risk of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Nutrition and Dietary Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0552 — isolated
  Ensure that residents are fully informed and understand their health status, care and treatments.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview and record review, the facility failed to inform Resident (R) 6 and/or their representatives regarding the risks related to psychotropic (alters mood or thoughts) medications. Findings included:- R6's Electronic Medical Record (EMR) recorded diagnoses of hemiplegia affecting the left side and dementia (a progressive mental disorder characterized by failing memory and confusion).R6's 05/28/2026 Annual MDS documented a BIMS score of six, indicating severely impaired cognition. R6 had no rejection of care during the observation period. R6 received antianxiety (a class of medications that calm and relax people) medications in the look back period. R6's 06/11/2026 Psychotropic Drug Use Care Area Assessment (CAA) documented antianxiety medication for anxiety related to dialysis (a procedure where impurities or wastes are removed from the blood).R6's 06/11/2026 Care Plan documented staff were instructed to monitor R6's condition based on guideline or clinical standard of practice related to use of Ativan (anti-anxiety medication). R6's 06/11/2026 Care Plan documented…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0582 — isolated
  Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interviews, the facility failed to provide form CMS-10055 Skilled Nursing Facility Advance Beneficiary Notice of Non-coverage Form 10055 (SNF-ABN: used to notify Medicare A participants discharging from services of potential charges) and Notification of Medicare Non-Coverage Form 10123 (NOMNC- the form used to notify Medicare A participants of their rights to appeal and the last covered date of service) to the resident or their representative for Resident (R) 18.Findings included:- R18's Electronic Medical Record (EMR) documented a Medicare Part A episode beginning 02/17/2026 and ending on 03/09/2026.On 06/22/2026 at 04:30 PM Administrative Staff B reported R18 was unable to sign for the SNF-ABN and the NOMNC as R18 was very confused. Administrative Staff B reported R18 did not have a durable power of attorney (DPOA- a legal document that names a person to make healthcare decisions when the resident is no longer able to). Administrative Staff B reported that R18's brother signed all his admission paperwork. During an interview on 06/23/2026 at 3:00 PM with…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0628 — isolated
  Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to provide a written bed hold policy at the time for transfer for Resident (R) 5.Findings included:- R5's 05/20/2026 Quarterly Minimum Data Set (MDS) revealed a Brief Interview for Mental Status (BIMS) score of 12, which indicated moderately impaired cognition.The Nurse's Progress note dated 06/18/2026 at 08:49 AM, revealed R5 reported dizziness and inability to bear weight during a transfer to the wheelchair. The note documented that R5 appeared pale in color, blood pressure was 94/54 millimeters of mercury (mmHg), pulse was 255 beats per minute, and oxygen saturation was 67 percent on room air. R5 was placed on five liters of oxygen per nasal cannula, and the staff notified the physician who gave orders to transfer the resident to the emergency room.The Nurse's Progress note dated 06/18/2026 at 01:33 PM, revealed the hospital informed the facility that R5 had been admitted to the Intensive Care Unit for septic shock (system infection).R5's EMR lacked evidence of a written bed hold policy provided at the time of…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Rights Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0658 — failed to meet professional standards of care — isolated
  Ensure services provided by the nursing facility meet professional standards of quality.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interview, observation, and record review, the facility failed to provide services to meet professional standards of care when staff failed to ensure Resident (R) 11's Electronic Medication Administration Record (EMAR) was signed off with initials after medications were administered. Additionally, the staff failed to ensure R11 received her medications at the ordered time. Findings included:- R11 's Electronic Medical Record (EMR) revealed diagnoses of spastic hemiplegia affecting left side (paralysis of one side of the body) and diabetes mellitus (DM-when the body cannot use glucose, not enough insulin is made, or the body cannot respond to the insulin).R11's 01/07/2026 admission Minimum Data Set (MDS), documented a Brief Interview for Mental Status (BIMS) of 11, which indicated moderately impaired cognition. R1 had no rejection of care during the observation period and received an anticoagulant (a class of medications used to prevent the blood from clotting), a diuretic (a medication to promote the formation and excretion of urine), and a hypoglycemic (a medication to…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2026-06-24 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, and interview, the facility failed to ensure residents received assistance with activities of daily living (ADL), including facial hair removal for Resident (R) 18 and assistance with nail care for R18, R6, and R11. Findings included:1. R11's Electronic Medical Record (EMR) revealed diagnoses of spastic hemiplegia affecting left side (paralysis of one side of the body) and assistance with personal care.R11's 01/07/2026 admission Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) of 11, which indicated moderately impaired cognition. R1 had no rejection of care during the observation period and required moderate assistance with personal hygiene.R11's 01/11/2026 Functional Abilities (Self-Care and Mobility) Care Area Assessment (CAA) revealed R11 had left-sided weakness/hemiplegia and required one staff assistance with activities of daily living (ADLs).R11's Care Plan, dated 01/14/2026, instructed staff to provide one staff assistance with grooming due…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0684 — failed to provide proper treatment and quality of care — isolated
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to monitor and respond to Resident (R) 25's lack of bowel movements for 13 consecutive days. Findings included:- R25's Electronic Medical Record (EMR) revealed diagnoses of constipation (difficulty passing stools) and dementia (a progressive mental disorder characterized by failing memory and confusion).R25's 11/27/2025 Annual Minimum Data Set (MDS) documented a Brief Interview for Mental Status (BIMS) score of 99, indicating severely impaired cognition. R25 required maximal assistance with toileting and was always incontinent with bowel movements. R25's 12/07/2025 Urinary Incontinence and Indwelling Catheter Care Area Assessment (CAA) documented R25 was incontinent of bowel and bladder. R25 refuses to use the bathroom and would become extremely angry when offered the toilet, as she prefers to go in her brief. R25's Care Plan, dated 07/29/2014, revealed staff were to teach the resident/family the relationship of constipation to food, medicine, treatment regimen, disease process, and psychosocial factors, and…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · Dcited before2026-06-24 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — isolated
  Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observations, record review, and interviews, the facility failed to ensure an environment free of chemical hazards for severely cognitively impaired Resident (R) 26 who had a bottle of 91 percent rubbing alcohol on his tray table. Findings included:- R26's Electronic Medical Record (EMR) revealed diagnosis of dementia (a progressive mental disorder characterized by failing memory and confusion).R26's 05/15/2026 Annual Minimum Data Set(MDS) documented a Brief Interview for Mental Status (BIMS) of zero, indicating severely impaired cognition. R26's MDS documented he required set-up assistance for wheelchair mobility. R26's 05/26/2026 Cognitive Loss/Dementia Care Area Assessment (CAA) documented R26 had impaired cognitive function or impaired thought processes, related to disease processes. R26 had forgetfulness, short term memory loss, resistance to care, and agitation. R26's Care Plan dated 05/29/2025 revealed staff were instructed to minimize the potential of resident behavior problems by modifying environmental factors and daily routine.R26's Progress Note on 05/15/2026 at…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0690 — failed to manage incontinence, catheters, and urinary infections — isolated
  Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review, the facility failed to ensure adequate catheter (a flexible tube inserted through a narrow opening into a body cavity, particularly the bladder, for removing fluid) related care for Resident (R) 18 when staff did not ensure each resident's catheter tubing was secure to prevent pulling or dislodgement. The facility additionally failed to ensure R18 had a diagnosis for the indwelling catheter. Findings included:- R18's Electronic Medical Record (EMR) recorded diagnoses of Parkinson's disease (a slowly progressive neurologic disorder characterized by resting tremors, rolling of the fingers, masklike faces, shuffling gait, muscle rigidity, and weakness) and assistance with personal care.R18's 02/23/2026 admission Minimum Data Set (MDS) documented a BIMS of zero, indicating severely impaired cognition. R18's MDS documented that he required total assistance with toileting hygiene.R18's 03/03/2026 Urinary Indwelling Catheter Care Area Assessment (CAA) documented: R18 was admitted without catheter and then on 02/16/26 catheter was…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Quality of Life and Care Deficiencies · Deficient, Provider has no plan of correction
• Potential for harm · D2026-06-24 · tag F0880 — failed to prevent and control infections — isolated
  Provide and implement an infection prevention and control program.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and record review the facility failed to ensure adequate infection control practices related to urinary catheter (tube inserted into the bladder to drain urine) care, hand hygiene, and glove use with intravenous (IV) medication.Findings included:- During an observation on 06/23/2026 at 09:00 AM, Licensed Nurse (LN) H entered Resident (R) 21's room to empty the urinal. After she emptied the urinal, LN H removed her soiled gloves and did not perform hand hygiene before she applied new gloves that were in her pocket. LN H then wore those gloves as she primed the tubing of the IV bag, wiped the IV port with an alcohol wipe, flushed the IV line with normal saline, attached the IV tubing to the end cap, and set the IV pump.During an observation on 06/23/2026 at 10:37 AM Certified Nurse Aide (CNA) M and CNA O applied personal protective equipment (PPE) before entering R18's room to transfer the resident with a mechanical lift. During the transfer R18's indwelling urinary catheter bag began to leak, when staff held the bag above the level of R18's bladder.…

  This is the beginning of the surveyor’s statement, cut to keep the page readable — the full 2567 continues past this point and often ends with the findings that matter most, such as whether an immediate jeopardy was removed before the surveyors left. The complete statement of deficiencies is a public record: request it from your state survey agency, or ask the home for its 2567 and plan of correction — it must make them available to residents and families.

  Infection Control Deficiencies · Deficient, Provider has no plan of correction

“Cited before” means this same F-tag appears on at least one other survey date in the record we hold — counting complaint investigations as well as standard surveys, with no time limit. It is our own read of the data, not CMS’s: CMS uses repeat deficiency as a formal term tied to consecutive standard surveys, and that is a narrower test than this one. A tag marked here may or may not meet it.

Fines & penalties

$94,784 in federal fines across 4 penalties.

• $16,350 — penalty dated 2026-04-22
• $14,444 — penalty dated 2025-05-14
• $47,613 — penalty dated 2024-07-24
• $16,377 — penalty dated 2024-03-28

Dates are the dates CMS records the penalty, not the date of the conduct behind it. CMS publishes penalties on a rolling window, so this is what is currently on the public file — not the home’s lifetime history, and an older fine may attach to a problem that has since been corrected. The amounts are as imposed: the CMS file does not record whether a penalty was appealed, reduced, or paid, so we don’t say. Ask the home what each one was for and what changed since.

Part of a chain

This home belongs to GOOD SAMARITAN SOCIETY — 92 facilities. Here is how its ratings compare with the chain’s average across all its homes: See the whole chain — ratings, flags, fines and finances →

A home rated well below its chain’s average can signal local problems; a chain with a low average across the board is a bigger pattern worth researching. CMS chain data under-reports private-equity and REIT ownership, so treat this as a floor, not the full picture.

Who owns this facility

CMS files one row per role, so the 55 rows in the source record cover these 29 parties — each is shown once here with every role it holds. Nothing is omitted.

6 organizational owners listed — a facility can be part of a larger chain. CMS ownership data is known to under-report private-equity and REIT ties; treat as a starting point.

Follow the money — this home’s finances

Where a nursing home’s revenue comes from and where it goes — including money paid to companies under the same ownership. Most consumer sites never show this; we reproduce it straight from the Medicare cost report.

This home reported $534K paid to related parties — landlords or management companies under common ownership — equal to about 13% of its total expenses. Money routed to affiliated companies can leave a home’s own books looking lean while owners still profit; it is the mechanism regulators watch most closely in private-equity and REIT deals.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2023. Facilities self-file these reports; figures are unaudited and a year or two behind. A home with no Medicare cost report on file shows no figures here.

Cost & finances

Straight from this home’s Medicare cost report (CMS, FY2023). These are its operating economics — what it costs to run per resident-day and what it collects on average across Medicare, Medicaid, and private pay — not a private-pay quote. Your out-of-pocket cost depends on payer and room type, so ask the facility directly; a higher operating cost can reflect richer staffing or a sicker population. The cost-of-care planner shows regional benchmarks by care type.

What families pay in KS