Good Samaritan Society - Hastings Village

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.

62.7% of the Medicare patients who left this home got back to the community and stayed there for at least 31 days — CMS rates that better than the national rate. This is CMS’s risk-adjusted rate over 88 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 67.7% 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 68 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 0.21 therapist hours per resident per day in 2026Q1 — more than 24% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 5% of this home’s weekday level — it runs some therapy at the weekend, at a lower level than on weekdays. 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 108 beds and averages 45.3 residents a day — about 42% occupied, or roughly 63 beds typically open. It often has substantial empty capacity — worth asking why, since low census can reflect either a new or shrinking home or one families are avoiding. 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 3.62 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.86 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.36 is below 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 3.16 hrs/resident/day on weekends vs 3.80 on weekdays — 17% thinner on weekends. RN hours go from 0.97 to 0.57 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%.

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.

21 citations, most serious first. The 14 most serious are shown; the remaining 7 are one tap away and print in full.

• Immediate jeopardy · J2024-02-29 · tag F0678 — failed to provide CPR when needed — isolated
  Provide basic life support, including CPR, prior to the arrival of emergency medical personnel , subject to physician orders and the resident’s advance directives.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09 Based on record review and interview, the facility failed to follow the advance directive for Cardiopulmonary Resuscitation (CPR) (a lifesaving attempt combination of rescue breathing and chest compressions when someone's heart has stopped) or DNR (A type of advance directive in which a person states that health care providers should not perform cardiopulmonary resuscitation (restarting the heart) if his or her heart or breathing stops) for two residents (Resident 7 and 39) of 16 sampled residents. Facility census was 38. Findings are: A. Record review of the facility policy titled Advance Directive including Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) dated [DATE] revealed the purpose of the policy was to provide each resident the opportunity to make decisions related to medical care and to define a process to make resident decisions known. If cardiac arrest occurs, CPR must be initiated unless the resident has a valid DNR (Do Not…

  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 · Kcited before2023-02-07 · tag F0689 — failed to keep residents free of avoidable accidents; supervise adequately — pattern
  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 LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D7, 12-006.09D7a and 12-006.09D7b. Based on observation, interview, and record review; the facility failed to ensure Resident 21 was provided supervision to prevent potential accidents with injury; failed to ensure the resident environment was free of accident hazards for Resident 3; and failed to identify causal factors and implement interventions to prevent falls and potential injury for Resident 26. This affected 3 of 5 sampled residents. The facility identified a census of 34 at the time of survey. Findings are: A. Review of Resident 21's quarterly MDS (Minimum Data Set-a comprehensive assessment used to develop a resident's care plan) dated 12/21/22 revealed an admission date of 11/16/21. Resident 21 had a BIMS (Brief Interview for Mental Status) score of 11 which indicated moderate cognitive impairment. Resident 21 required extensive assistance from staff for transfers and toilet use. Resident 21 had 2 or more falls since the prior assessment. Observation 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-02-07 · tag F0697 — failed to manage pain — isolated
  Provide safe, appropriate pain management for a resident who requires such services.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.09D Based on observation, interview, and record review; the facility failed to monitor and implement interventions to prevent pain for 1 of 1 sampled residents, Resident 21. The facility identified a census of 34 at the time of survey. Findings are: Review of Resident 21's quarterly MDS (Minimum Data Set-a comprehensive assessment used to develop a resident's care plan) dated 12/21/22 revealed an admission date of 11/16/21. Resident 21 had a BIMS (Brief Interview for Mental Status) score of 11 which indicated moderate cognitive impairment. Resident 21 required extensive assistance of 2 staff for transfers. Observation of Resident 21 on 2/01/2023 at 9:25 AM revealed Resident 21 was sitting in a wheelchair in their room calling out help me and rubbing their right shoulder; Resident 21's pillow and call light were on the floor in front of Resident 21's wheelchair. There were no staff in view. Continued observation revealed several staff members walked by Resident 21's room while Resident 21 was calling out for help, and no one entered the room…

  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 · G2023-02-07 · tag F0865 — failed to run a quality-improvement (QAPI) program — isolated
  Have a plan that describes the process for conducting QAPI and QAA activities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  LICENSURE REFERENCE NUMBER 175 NAC 12-006.07C Based on interview and record review, the facility failed to identify and implement a QA (Quality Assurance) process to prevent repeat deficiencies in the areas of self-determination, preventing a decrease in range of motion, pain management, and food sanitation, which had the potential to affect the residents identified at risk or affected by the deficiencies. The facility identified a census of 34 at the time of survey. Findings are: Results of the recertification standard survey dated 2/7/23 revealed the facility received repeat citations for the following Federal deficiencies: F0561-Self-Determination F0688-Increase/Prevent Decrease in ROM/Mobility F0697-Pain Management F0812-Food Procurement, Store/Prepare/Serve Sanitary Interview with HIM/QAPI (Health Information Management/Quality Assurance and Performance Improvement) on 2/07/23 at 2:01 PM revealed the facility did not have any current action plans in place based on the results of the prior survey to prevent the repeat citations from the current survey. Review of the facility…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-03-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.11(E) Based on observation, interview, and record review the facility failed to ensure sanitary conditions in the kitchen and failed to label and date leftover foods in order to prevent the potential for food borne illnesses for all residents who consumed meals prepared in the kitchen. This had to potential to affect all residents that consumed meals prepared by the facility kitchen; and the facility failed to ensure that resident room meals were served and removed in a manner to prevent the potential for foodborne illness for 2 residents (Residents 34 and 16) of 2 residents observed. The facility census was 37. Findings are: A. Record review of the undated Resident Handbook states under Food and Nutrition Services the facility serves nutritious, well-balanced meals and the registered dietician routinely reviews menus, food preparation, sanitation, and dining services. Record review of the undated policy Date Marking; Food and Nutrition revealed the purpose of the policy…

  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 date of correction
• Potential for harm · F2025-03-06 · tag F0850 — failed to provide social-work services — widespread
  Hire a qualified full-time social worker in a facility with more than 120 beds.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on interviews and record reviews, the facility failed to employ a qualified social worker on a full-time basis. The facility census was 37. Findings are: A review of the Long Term Care Bed Count Record provided by the facility dated 03/03/2025 revealed the facility had a census of 37 and a licensed bed count of 175. An interview on 03/03/2025 at 12:43 PM with Resident 32's Power of Attorney (POA; a legal document that allows someone else to act on your behalf) revealed that the Social Services Department does not always provide updates on Resident 32. The POA further states the social services director is not always available when needed. An interview on 03/04/2025 at 3:28 PM with the Social Services Director (SSD) revealed that they are responsible for all duties within the department and works on a full-time basis. SSD was asked about qualifications for obtaining the role, the SSD revealed they moved into the position from the kitchen and activities department, then obtained an online certification as a social services designee in long term care. A record review of the SSD…

  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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Dcited before2025-03-06 · tag F0561 — failed to honor residents' choices — isolated
  Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Title 175 NAC Chapter 12-006.05 (E) Based on interviews and record reviews, the facility failed to provide bathing as required for 1 resident (Resident 5). The facility census was 37. Findings are: An interview on 03/03/2025 at 10:24 AM with Resident 5 revealed that they are scheduled for weekly baths and did not get a bath last week. According to Resident 5, they were told the bath chair was not working, however told the bath aide they would like a shower and need at least one a week. Record review of Resident 5's admission Record dated 03/03/2025 reveals an admission date on 05/18/2023. Record review of Resident 5's Care Plan Report with an initiation date of 05/18/2023, reveals: -RESIDENT ADL PREFERENCES: Resident prefers a whirlpool bath one time per week during the day. -BATHING: Prefers whirlpool. -BATHING: Resident requires bed bath 1 staff assist. Record review of Resident 5's Plan of Care (POC) Response History dated 03/04/2025 reveals 30 day look back for questions: Type of Bath reveals on 02/07/2025, 02/12/2025, 02/19/2025 a whirlpool bath was provided, and on 02/26/2025…

  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 date of correction
• Potential for harm · Dcited before2025-03-06 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175NAC 12-006.18(B) Licensure Reference Number 175NAC 1-005.06(E) Based on observation, interview, and record review the facility failed to ensure that staff wore gown and gloves as required during high contact resident care (activities with the highest risk for transfer of germs to hands and clothing) for 1 resident (Resident 33) of 2 residents observed to prevent the potential for cross contamination and infection. The facility census was 37. Findings are: Record review of the facility policy titled Standard and Transmission Based Precautions dated 4/2/24 revealed that the purpose of the policy is to prevent the spread of infection and to provide appropriate personnel with protective equipment when necessary. The section titled Enhanced Barrier Precautions (EBP) revealed that it refers to the use of gown and gloves during high contact resident care activities that provide opportunities for transfer of MDROs (Multi-Drug Resistant organisms -microorganisms (primarily bacteria) that…

  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 · D2024-02-29 · tag F0554 — isolated
  Allow residents to self-administer drugs if determined clinically appropriate.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.10A1 Based on observation, record review, and interview; the facility failed to implement a process to access residents for self-administration of medications. This affected 2 (Resident #4 and Resident #24) of 5 sampled residents. Facility stated census of 38. Findings are: A. A review of Resident #4's admission Record dated 02/26/2024 Resident #4 admitted on [DATE] with diagnoses of Hemiplegia and Hemiparesis which is a loss of strength on one side of the body, affecting the right dominant side. The Quarterly Minimum Data Set (MDS, a mandatory comprehensive assessment tool that measures the health status of nursing home residents and is used for care planning), dated 12/20/2023 revealed Resident #4 had a Brief Interview for Mental Status (BIMS) which is a screening tool that aids in detecting cognitive impairment, score of 15 indicating resident was cognitively intact. The resident was independent of Activities of Daily Living (ADLs) of bed mobility, eating, toileting,…

  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 date of correction
• Potential for harm · Dcited before2024-02-29 · 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 Licensure Reference Number 175 NAC 12-006.09D7a Based on observation, record review, and interview; the facility failed to implement interventions to prevent accidents for 1 (Resident #20) of 5 sampled residents. Facility census was 38. Findings are: Review of Resident #20's admission Record revealed the resident was admitted on [DATE] with the diagnoses of: Pneumonia (which is an infection that inflames the air sacs in one or both lungs) and Congestive Heart Failure (which is a condition when your heart can not pump blood well enough to give your body a normal supply resulting in fluids collecting in your lungs and legs). The admission Minimum Data Set (MDS, a mandatory comprehensive assessment tool that measures the health status of nursing home residents and is used for care planning), dated 01/09/2024 revealed Resident #20 had a Brief Interview for Mental Status (BIMS) score of 11(moderately impaire cognition) and staff provided partial to moderate assistance with Activities of Daily Living (ADL's). 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 · D2024-02-29 · tag F0692 — failed to prevent malnutrition and dehydration — isolated
  Provide enough food/fluids to maintain a resident's health.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Licensure Reference Number 175 NAC 12-006.09D8a Based on observation, record review, and interview; the facility failed to provide the physician ordered diet to 1 (Resident #20) of 5 sampled residents. The facility census was 38. Findings are: Review of Resident #20's admission Record revealed the resident admitted on [DATE] with the diagnoses of: Pneumonia which is an infection that inflames the air sacs in one or both lungs and Congestive Heart Failure which is a condition when your heart can not pump blood well enough to give your body a normal supply resulting in fluids collecting in your lungs and legs. The admission Minimum Data Set (which is a mandatory comprehensive assessment tool that measures the health status of nursing home residents and is used for care planning (MDS)) dated 01/09/2024 revealed Resident #20 had a Brief Interview for Mental Status (BIMS) score of 11 and staff provided partial to moderate assistance with Activities of Daily Living (ADL's). Resident #20 was also indicated to have a…

  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 before2024-02-29 · 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

  Licensure Reference Number 175 NAC 12006.17 Based on observation, record review, and interview; the facility failed to perform hand hygiene during resident perineal care (cleansing of a residents private areas between the legs), and failed to clean respiratory care equipment after resident use. This affected 2 (Resident #4 and Resident #13) of 5 sampled residents. Facility census was 38. Findings are: A. In an observation on 02/28/2024 at 3:23 PM catheter cares were observed by Nurse Aide (NA)-C and NA-D to Resident #13 in their room. NA-C and NA-D were standing at Resident #13's bed side. On Resident #13's bedside table beside NA-C was a basin with 2 wash clothes which were submerged with visible bubbles present in the water. NA-C had gloved hands and obtained a washcloth from the basin and wrung out the excess water. NA-C then used the washcloth to cleanse Resident #13 perineal area and catheter. NA-C discarded the washcloth into a clear plastic bag. Then NA-C obtained another washcloth from the basin and wrung it out. NA-C then repeated the cleansing of the perineal area with 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.

  Infection Control Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2023-02-07 · 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

  Licensure Reference Number 175NAC 12-006.11E Based on observation, record review, and interview, the facility failed to ensure that food temperatures were obtained and documented as required to prevent the potential for foodborne illness. This had the potential to affect all facility residents that ate food prepared by the facility kitchen. The facility also failed to ensure that staff handled foods in a manner to prevent the potential for cross contamination and foodborne illness. This affected 3 facility residents (Residents 19, 20, and 3). The facility census was 34. Findings are: A. Record review of the facility policy titled Food Temperature Monitoring-Food and Nutrition Services dated 3/15/22 revealed Time/temperature Control for Safety (TCS) food is a food that requires time/temperature control to limit pathogenic microorganism growth (growth of germs that cause foodborne illness) or toxin formation (natural substances generated by germs that have harmful effects on humans even at very low doses). Proper holding temperature is the temperature required for food safety (cold…

  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 date of correction
• Potential for harm · F2023-02-07 · tag F0881 — failed to use antibiotics responsibly — widespread
  Implement a program that monitors antibiotic use.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on record review and interview; the facility failed to implement an Antibiotic Stewardship Program (a set of actions designed to optimize the treatment of infections while reducing the adverse events associated with antibiotic use). This had the potential to affect all residents in the facility. The facility census was 33. Record review of the Antibiotic Stewardship Program: 12/15/22 Antibiotic Stewardship policy revealed the following: The facility will implement and enforce policies and practices to improve antibiotic use. The facility will provide standard definition to be used as guidelines when initiating antibiotics. The policy refers to using the McGreer's criteria for requesting antibiotic use. The facility will track how often and how many days of antibiotics are prescribed, to decrease the incidents of multi-drug resistance organisms. The facility will promote appropriate use while optimizing the treatment of infections and reducing the possible adverse events associated with antibiotic use. Record review of received written monthly infection tracking logs 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.

  Infection Control 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

$39,704 in federal fines across 2 penalties.

• $22,903 — penalty dated 2025-03-06
• $16,801 — penalty dated 2024-02-29

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 28 rows in the source record cover these 24 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 $2.6M paid to related parties — landlords or management companies under common ownership — equal to about 22% 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 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 NE