Good Samaritan Society - Lakota

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.

36.5% 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 27 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Therapy staffing: this home’s payroll records show 0.02 therapist hours per resident per day in 2026Q1 — more than 1% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 0% of this home’s weekday level — it runs therapy on weekdays, with essentially none at 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 38 beds and averages 34.9 residents a day — about 92% occupied, or roughly 3 beds typically open. It runs fairly full. 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 3.83 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 1.06 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.59 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 2.90 hrs/resident/day on weekends vs 4.21 on weekdays — 31% thinner on weekends — a notable drop. RN hours go from 1.26 to 0.58 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 45% is about the same as the national median of 45%. 1 administrator has left in the past year.

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.

30 citations, most serious first. The 12 most serious are shown; the remaining 18 are one tap away and print in full.

• Actual harm · Gcited before2024-06-19 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY 1. Based on observation, record review, review of facility policy, and staff and resident interview, the facility failed to provide care and services to maintain the resident's highest level of well-being for 1 of 1 sampled resident (Resident #30) with a change in health status followed by a transfer to the hospital. Failure to monitor and assess the resident's condition on an on-going basis resulted in worsening respiratory symptoms, a delay in treatment, and an admission to the hospital. Findings include: Review of the facility policy titled Notification of Change occurred on 06/19/24. This policy, dated 12/04/23, stated, . A facility must immediately inform the resident, consult with the resident's physician . when there is: . A significant change in the resident's physical, mental or psychosocial status . A need to alter treatment significantly . Observation on 06/17/24 at 11:12 a.m. showed Resident #30 ambulating in her room with oxygen in place via nasal cannula. The resident stated she was good, except I…

  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
• Actual harm · G2023-10-11 · 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, record review, review of facility policy, staff interviews, and information from a complainant, the facility failed to ensure resident safety for 1 of 1 resident (Resident #1) closed record reviewed for smoking safety. Failure to ensure the safety of a resident who smoked placed the resident at risk for adverse events, serious injury, and death. Findings include: Review of the facility policy titled [Facility Name] Smoking Procedure for Residents, Employees and Visitors occurred on [DATE]. This policy dated [DATE] stated, . Smoking and tobacco use in the location is not permitted. On [DATE], all locations of the [Facility Name] implemented a procedure to establish a smoke-free environment. This policy applies to residents, employees, and location visitors. As of [DATE], [Facility Name] does not allow smoking on facility grounds. These procedures are in addition to the Smoking and Tobacco Use - Rehab/Skilled and Outpatient Therapy Policy (dated [DATE]) endorsed by [Facility Name] 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 date of correction
• Potential for harm · E2026-06-16 · tag F0725 — failed to have enough nursing staff — pattern
  Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, review of facility policy, confidential resident interviews, and staff interviews, the facility failed to ensure sufficient nursing staff to meet resident needs for four confidential residents (Residents A, B, C, and D) who required staff assistance. Failure to provide sufficient staffing and answer call lights in a timely manner does not promote a resident's right to physical, mental, and psychosocial well-being.Findings include: Review of the facility policy titled call lights occurred on 06/16/26. This policy, dated July 2025, stated, . Purpose. To ensure residents always have a method of calling for assistance. To promptly answer resident's call light. When resident's call light is observed/heard go to resident's room promptly. Respond to request as soon as possible. Confidential resident interviews and observations on 06/16/26 identified the following: *At 8:57 a.m., observation showed Resident A's call light on. At 9:09 a.m., an unidentified staff member turned the call light off while picking up meal trays. The staff member told the resident she would be…

  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.

  Nursing and Physician Services Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2026-06-16 · tag F0657 — failed to keep the care plan current — isolated
  Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and record review the facility failed to review and revise care plans to reflect the resident's current status for 2 of 6 sampled residents (Residents #1 and #6). Failure to update care plans limit the staff's ability to communicate residents' needs and ensure continuity of care.Findings Include: - Review of Resident #1's medical record occurred on 06/16/26 and identified a left intertrochanter (hip) fracture. The current care plan stated, . The resident has an ADL [activities of daily living] self-care performance deficit R/T [related to] elzhiemers [sic] E/B [evidenced by] need for staff to anticipate needs and wants. An intervention, revised on 02/09/26 stated, Ambulation: X1 (one person) staff assist, using the standing lift [mechanical sit to stand lift] for all transfers . Resident does not ambulate. During an observation on 06/16/26 at 2:35 p.m., two certified nurse aides (CNAs) (#4 and #5) transferred Resident #1 from the wheelchair to the bed using a full body mechanical lift and not a sit to stand lift as care planned.- Review of Resident #6's medical…

  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 date of correction
• Potential for harm · Dcited before2026-06-16 · 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

  Based on observation, record review, review of facility policy, and staff interviews, the facility failed to provide care and services to prevent the development of pressure ulcers for 2 of 6 sampled residents (Residents #1 and #6) with pressure ulcers. Failure to provide repositioning and utilize pressure relief devices appropriately may result in the development/worsening of pressure ulcers. Findings include: Review of the facility policy titled Pressure Ulcers occurred on 06/16/26. This policy, dated March 2026, stated, . will use prevention and assessment interventions to ensure that a resident entering the location without pressure ulcers does not develop a pressure ulcer unless the individual's clinical condition demonstrates that this was unavoidable. A resident who has a pressure ulcer will receive the necessary treatment and services to promote healing, prevent infection and prevent new pressure ulcers from developing. Review of the facility policy titled Positioning occurred on 06/16/26. This policy, dated December 2024, stated, . To position residents unable 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-06-03 · tag F0641 — pattern
  Ensure each resident receives an accurate assessment.
  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, review of the Long-Term Care Facility Resident Assessment Instrument (RAI) 3.0 User's Manual (Version 1.19.1), and staff interview, the facility failed to ensure accurate coding of the Minimum Data Set (MDS) for 5 of 13 sampled residents (Resident #2, #10, #23, #35, and #36). Failure to accurately complete the MDS does not allow each resident's assessment to reflect their current status/needs and may affect the accurate development of a comprehensive care plan and the care provided to the residents. Findings include: SECTION GG: FUNCTIONAL ABILITIES AND GOALS The Long-Term Care Facility RAI Manual, revised October 2024, pages GG-5 to GG-8, stated, . GG0115 Functional Limitation in Range of Motion: Code for limitation that interfered with daily functions or placed resident at risk of injury in the last 7 days. Coding: 0. No impairment, 1. Impairment on one side, 2. Impairment on both sides . - Review of Resident #23's medical record occurred on all days of survey. The care…

  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 date of correction
• Potential for harm · Ecited before2025-06-03 · tag F0880 — failed to prevent and control infections — pattern
  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, record review, and review of facility policy, the facility failed to follow standards of infection control and prevention for 4 of 5 sampled residents (Resident #10 #23, #24, and #35) observed during cares. Failure to practice infection control standards related to enhanced barrier precautions (EBP), perineal care, hand hygiene, and cleaning of a mechanical lift has the potential to spread infection throughout the facility. Findings include: Review of the facility policy titled Standard, Enhanced Barrier, and Transmission-Based Precautions occurred on 06/04/25. This policy, revised April 2025, stated, . Enhanced barrier precautions expand the use of personal protective equipment [PPE] beyond situations in which exposure to blood or body fluids is anticipated and refer to the use of a gown and gloves during high-contact resident care activities . Enhanced barrier precautions are also used for residents with chronic wounds (i.e., pressure ulcers .) . indwelling medical devices (i.e., indwelling urinary catheters, feeding tubes .) . High-contact resident care…

  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 date of correction
• Potential for harm · D2025-06-03 · 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

  Based on record review, review of facility policy, and staff interviews, the facility failed to provide the necessary services for 1 of 13 sampled residents (Resident #10) and 2 supplemental residents (#11 and #12) who required staff assistance with bathing. Failure to provide bathing as scheduled may result in poor personal hygiene and decreased self-esteem. Findings include: Review of the facility policy titled Bathing occurred on 06/03/25. This policy, dated September 2024, stated, To promote cleanliness and general hygiene . To assist resident with personal care . During an interview on 6/02/25 at 8:28 a.m., a certified nurse aide (CNA) (#2), indicated he/she normally does baths, however, since the facility was working short staffed today he/she was working on the floor instead of giving resident baths. - Review of Resident #10's medical record occurred all days of survey. The care plan stated, . BATHING: Resident requires assist of 1 with bathing in whirlpool. Review of the bathing record from May 5 through June 3, 2025, showed the facility staff failed to bathe the resident…

  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 · Dcited before2025-06-03 · 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

  Based on observation, record review, review of facility policy, and staff interview, the facility failed to provide the necessary treatment and services to promote healing of a pressure ulcer for 1 of 2 sampled residents (Resident #10) with a pressure ulcer. Failure to provide wound treatment as ordered may result in delayed healing, wound infection, and worsening or development of a new pressure ulcer. Finding include: Review of the facility policy titled Wound Dressing Change occurred on 06/03/25. This policy, dated 11/01/24, stated, . Check the physician's order . Identify date and initials on dressing/tape. Chart dressing change . Review of Resident #10's medical record occurred on all days of survey. A physician's order, dated 04/02/25, stated, Decubitus Ulcer Coccyx [an open wound on or near the tailbone] Cleanse with Wound Cleanser, apply Collagen [a protein] Pad and cover with Bordered Gauze daily. every night shift for Decubitus Ulcer Coccyx. Observation on 06/03/25 at 8:24 a.m. showed two certified nurse aides (CNAs) (#8 and #9) assisted Resident #10 with a brief check 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 date of correction
• Potential for harm · Dcited before2025-06-03 · 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 record review, review of facility policy, and resident interview, the facility failed to provide necessary services and assistance for 1 of 1 confidential resident (Resident A) who voiced concerns related to toileting assistance. Failure to provide toileting assistance in a timely manner may result in a loss of dignity and placed the residents at risk for incontinence, skin breakdown, poor grooming/hygiene, decreased self-esteem, urinary tract infections, and risk for fall and/or injuries. Findings include: Review of the facility policy titled Bowel & Bladder occurred on 06/03/25. This policy, dated May 2025, stated, . PURPOSE To achieve a comfortable voiding schedule with the least amount of incontinent episodes . Review of Resident A's medical record occurred on all days of survey. The care plan identified the following, . TOILET USE: Resident requires 1 staff assist. The current Minimum Data Set, identified required substantial/maximal assist for toileting and always continent of bladder. During an interview on 06/01/25 at 4:21 p.m., Resident A stated he/she has been…

  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 · Dcited before2025-06-03 · tag F0695 — failed to provide proper breathing / tracheostomy care — isolated
  Provide safe and appropriate respiratory care for a resident when needed.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review, review of facility policy, and resident and staff interviews, the facility failed to provide respiratory care in accordance with professional standards and the plan of care for 1 of 1 sampled resident (Resident #25) with a diagnosis of severe obstructive sleep apnea. Failure to obtain or check on the status of a Continuous Positive Airway Pressure (CPAP) device may result in cardiovascular issues, daytime fatigue, impaired cognitive function and affect overall quality of life. Findings include: Review of the facility policy titled Non - Invasive Respiratory Support occurred on 06/03/25. This policy, dated October 2024, stated, . PURPOSE . Provide the most effective treatment option . for those suffering with respiratory insufficiency. Review of Resident #25's medical record occurred on all days of survey and included diagnoses of severe sleep apnea and acute respiratory failure with hypoxia. During an interview on 06/01/25 at 4:41 p.m., Resident #25 stated, I had a home sleep study in January and I'm supposed to have a CPAP, but they haven't gotten it for me…

  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 · Dcited before2025-01-08 · 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, record review, review of facility policy, and staff interview, the facility failed to provide the necessary treatment/services to promote the healing or prevent the development of pressure ulcers for 2 of 3 sampled residents (Resident #1 and #2) identified with pressure ulcers. Failure to apply pressure relieving devices as ordered, complete weekly assessments with measurements of pressure ulcers per facility policy, may result in new pressure ulcers, the deterioration of existing pressure ulcers, and delayed healing. Findings include: Review of the facility policy titled Skin Assessment Pressure Ulcer Prevention and Documentation Requirements occurred on 01/08/25. This policy, dated April 2024 stated, . The pressure ulcer should be assessed/evaluated at least weekly . and should include at the least the following: Measurements - length, width, depth . Review of the Wound Data Collection form occurred on 01/08/25 and stated, . Measurements - Required at least every once every 7 days . -…

  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

“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

$74,283 in federal fines across 2 penalties.

• $48,445 — penalty dated 2024-06-19
• $25,838 — penalty dated 2023-10-11

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 23 rows in the source record cover these 22 parties — each is shown once here with every role it holds. Nothing is omitted.

2 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 $732K paid to related parties — landlords or management companies under common ownership — equal to about 15% 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. A reported operating loss is common in this industry and is not by itself a sign of trouble — but paired with large related-party payments it can mean profit is being taken elsewhere in the ownership structure.

Source: CMS Healthcare Provider Cost Reporting Information System (HCRIS), Medicare cost report Form CMS-2540 · fiscal year 2024. 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, FY2024). 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 ND