Good Samaritan Society Miller

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.

Therapy staffing: this home’s payroll records show 0.05 therapist hours per resident per day in 2026Q1 — more than 2% 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 50 beds and averages 34.9 residents a day — about 70% occupied, or roughly 15 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 3.81 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.84 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.67 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 3.22 hrs/resident/day on weekends vs 4.04 on weekdays — 20% thinner on weekends — a notable drop. RN hours go from 0.99 to 0.46 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 71% is well above the national median of 45%. 2 administrators have left in the past year — frequent leadership churn is a warning sign families often miss.

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.

22 citations, most serious first. The 14 most serious are shown; the remaining 8 are one tap away and print in full.

• Immediate jeopardy · J2024-09-19 · tag F0812 — failed to store, cook, and serve food safely — isolated
  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, record review, and policy review, the provider failed to ensure that staff were able to verify the chemical sanitation level required to sanitize the dishes used for preparation and serving residents' food. Failure of that increased the potential risk of foodborne illnesses for the entire resident population who received meals prepared in the kitchen and served to the residents. Findings include: 1. IMMEDIATE JEOPARDY Interviews with dietary staff throughout the survey indicated that the dishwasher's chemical sanitation was not functioning. Staff were not aware of any process to follow when the dishwasher's chemical sanitation was not functioning. Staff could not accurately verify the chemical sanitation level of the dishwasher to ensure proper sanitation due to the expired test strips. IMMEDIATE JEOPARDY NOTICE Notice of immediate jeopardy was given verbally and in writing on 9/18/24 at 4:25 p.m. to administrator A and business office manager (BOM)/dietary manager (DM) C. An immediate removal plan was requested. IMMEDIATE JEOPARDY REMOVAL PLAN 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.

  Nutrition and Dietary Deficiencies · Deficient, Provider has date of correction
• Actual harm · Gcited before2026-02-20 · 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, interview, and policy review, the provider failed to monitor and implement pressure ulcer (skin and/or underlying tissue injury due to prolonged pressure) healing and prevention interventions for one of one sampled resident (5) identified at risk for developing pressure ulcers and developed a stage II (2; open wound or blister with partial-thickness skin loss) pressure ulcer to his coccyx (tailbone). Findings include:1. Observation and interview on 2/17/26 at 3:53 p.m. with resident 5 in his room revealed:*He had a cushion in his wheelchair and an air mattress (a specialized mattress filled with air used for pressure reduction) on his bed.*He did not know why he had the air mattress or cushion in his wheelchair.*He did not know if he had a skin wound.2. Review of resident 5's electronic medical record (EMR) revealed:*He was admitted to the facility on [DATE].*His 12/22/25 Brief Interview for Mental Status (BIMS) assessment score was 8, which indicated he had moderate…

  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 · G2024-09-19 · tag F0600 — failed to protect residents from abuse and neglect — isolated
  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 Based on South Dakota Department of Health (SD DOH) facility-reported incident (FRI), observation, interview, record review, and policy review, the provider failed to ensure one of one sampled resident (15) who was blind had his food and drink free from flies in and on it, received timely care for his incontinence needs, and received a bath as scheduled prior to attending a funeral. Findings include: 1.Review of the provider's 9/11/24 SD DOH FRI revealed: *Interim director of nursing (IDON) B received an allegation of abuse from resident 15 on 9/11/24. *Allegations included he: -Had made requests for his care needs and had to wait up to three hours for staff to come back and perform them. -Had urinary incontinence and had not been provided no incontinent products. -Had visitors during a mealtime who told him flies were on his food and in his cup of hot chocolate. --Stated the visitors had told him they killed a total of 12 flies while seated at the table with him. Observation and interview on 9/17/24 at 9:30…

  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
• Actual harm · Gcited before2024-09-19 · 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 South Dakota Department of Health (SD DOH) facility reported incident (FRI), observation, interview, and record review the provider failed to ensure one of one resident (17) who required staff assistance with care had not developed facility acquired pressure injuries when left on a bedpan for an extended time. Findings include: 1. Observation and interview on 9/17/24 at 9:02 a.m. with resident 17 revealed: *He was bedridden and dependent on staff for care due to a back injury and a history of a broken arm that did not heal correctly. *He had a mesh sling under him staff used for repositioning and for the lift. *he felt staff did a good job but this shift, but this shift, they don't want to help me. *He stated he pushed the call light button and, she just answered while you are in here, sometimes I am ornery and turn on the call light and wait for them and I have the door wide open so I can yell at them, you should see them run! They should check on me, what if I am on my last breath. 2. Interview 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 · Deficient, Provider has date of correction
• Potential for harm · E2026-02-20 · tag F0655 — pattern
  Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
  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 record review, interview, and policy review, the provider failed to ensure the resident's baseline care plan (personalized plan that addresses a resident's care needs, goals, and interventions) was reviewed with, and a copy was provided to the resident and the resident's representative according to the provider's policy within 48 hours of the resident's admission to the facility for four of five newly admitted sampled residents (2, 5, 19, and 24). Findings include: 1. Review of resident 19's electronic medical record (EMR) revealed: *She admitted to the facility on [DATE] and the development of her baseline care plan was initiated. *Her baseline care plan was reviewed with her on 1/13/25, four days after she admitted to the facility. *There was no documentation that a copy of resident 19's baseline care plan was provided to her and her representative. 2. Review of resident 2's EMR revealed: *He admitted to the facility on [DATE], and the development of his baseline care plan was initiated. *His baseline…

  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 · E2026-02-20 · tag F0695 — failed to provide proper breathing / tracheostomy care — pattern
  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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the provider failed to ensure the staff followed professional standards of practice related to respiratory care for:*Cleaning and storing nebulizer equipment (a device used when using a nebulizer machine that converts liquid medication into an inhalable mist) for three of three sampled residents (13, 19, and 28) who used nebulizer machines.*Cleaning the Continuous Positive Airway Pressure (CPAP) machine (a device that uses air pressure to keep breathing airways open) for one of one sampled resident (13) who used a CPAP machine.*Cleaning and storing oxygen equipment for four of four sampled residents (13, 19, 28, and 29) who used oxygen.Findings included:1. Observation on 2/17/26 at 12:38 p.m. of resident 29's room revealed: *She had an oxygen concentrator (a device that filters room air into purified oxygen) beside her bed. *Her nasal cannula (flexible tubing with prongs that delivers oxygen through the nose) was draped over that concentrator.…

  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 · E2026-02-20 · tag F0755 — failed to provide safe pharmacy services — pattern
  Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
  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, record review, and policy review, the provider failed to maintain a system to account for all controlled (medications with risk for abuse, addiction, and potential theft) medications for one of two observed medication carts and for one of one treatment cart in the East hall, and to document medications related to their receipt, counts, administration details, and destruction process. Findings include:1. Review of the February 2026 Controlled Drugs Count Record on the treatment cart revealed: *There were three headings labeled 7-3 Shift, 3-11 Shift, and 11-7 Shift. *Below heading were columns labeled Nurse Off, Nurse On, and Card or prescription count. *The controlled drug count was signed off by one nurse as the on-coming nurse under the 7-3 heading and the off-going nurse under the 11-7 heading on 2/1/26, 2/2/26, 2/4/26, 2/6/26, 2/10/26, 2/11/26, and 2/14/26. *The controlled drug count was not completed the entire day on 2/3/26, 2/12/26, 2/13/26, 2/18/26, and 2/19/26. *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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · D2026-02-20 · tag F0605 — failed to not use drugs as a restraint — isolated
  Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function.
  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 record review, interview, and policy review, the provider failed to ensure one of two sampled resident (4) who received an antipsychotic medications (a drug that alters neurotransmitter activity in the brain to reduce symptoms of mental health conditions) and a psychotropic medication (drugs that affect brain activities associated with mental processes and behavior) had an attempted gradual dose reduction (systemic dose reduction over time to determine if the condition could be managed with a lower dose or discontinuation of the medication) (GDR) or a physician's documented rationale to support that a GDR was clinically contraindicated (not appropriate based on the resident's condition, potential risks, or adverse effects) for the use of those medications. Findings include:1. Review of resident 4's electronic medical records (EMR) revealed:*He was admitted on [DATE].*His diagnoses included dementia (a group of symptoms affecting memory, thinking, and social abilities) with psychotic disturbance (a state…

  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
• Potential for harm · D2026-02-20 · tag F0637 — isolated
  Assess the resident when there is a significant change in condition
  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 record review, interview, and policy review the provider failed to ensure one of four sampled resident (3) who was recently admitted to hospice (specialized care for individuals with a terminal illness that focuses on comfort and quality of life rather than curative treatments) services had a significant change Minimum Data Set (MDS) assessment (a tool used to evaluate a resident's health status and to develop an individualized care plan to manage the resident's care needs) completed within 14 days after the resident admitted to hospice.Findings include:1. Review of resident 3's electronic medical record (EMR) revealed:*He was admitted to the facility on [DATE].*He had a 10/15/25 physician's order for Hospice referral and admit if appropriate.*He was admitted to hospice services on 10/20/25.*His significant change MDS assessment was completed on 11/21/25, 32 days after he was admitted to hospice.2. Interview on 2/20/26 at 12:53 p.m. with administrator A revealed:*He expected the MDS coordinator 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 date of correction
• Potential for harm · Dcited before2026-02-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, record review, interview, and policy review, the provider failed to ensure the care plan (personalized plan that addresses a resident's care needs, goals, and interventions) was reviewed and revised to reflect the current care needs for two of seventeen sampled residents (2 and 16).Findings include: 1. Interview on 2/20/26 at 9:25 a.m. with certified nursing assistant (CNA) H regarding residents' care needs revealed she would reference the residents' care plans or Kardex (a report of the resident's care needs and interventions) to know how to care for each resident. 2. Review of resident 2's electronic medical record (EMR) revealed:*His admission date was 10/16/25.*His 12/9/25 Brief Interview of Mental Status assessment score was a 7, which indicated his cognition was severely impaired.*His diagnoses included: dementia (a group of symptoms affecting memory, thinking, and social abilities), fracture of the right hip, insomnia, and heart failure.*His weight record included the following…

  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 · D2026-02-20 · 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

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure the staff members followed professional standards of care for:*The assessment, care, and accurate documentation regarding one of one sampled resident (4) with a newly placed suprapubic catheter (flexible tubing surgically placed in the bladder through the abdominal wall to drain urine).*Accurately entering physician's orders into the electronic medical record to ensure one of one sampled resident's (16) Haldol (medication for reducing symptoms of mental health conditions) was transcribed and administered as ordered. Findings include: 1. Observation and interview on 2/18/26 at 3:21 p.m. with resident 4 in his room revealed he: *Had a suprapubic catheter. *Did not know how long he had the suprapubic catheter but stated it had not been too long. 2. Review of resident 4's EMR revealed: *He was admitted on [DATE]. *His 12/22/25 Brief Interview for Mental Status (BIMS) assessment score was 12, which indicated his cognition…

  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 · D2026-02-20 · tag F0761 — failed to label and store drugs safely — isolated
  Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, and policy review, the provider failed to ensure the medication labels and the resident's medication administration record (MAR) matched during two of two observed medication administrations for two of eleven sampled residents (7 and 29) by certified nurse aides (CNAs)/unlicensed assistive personnel (UAPs) L and I. Findings include:1. Observation and interview on 2/19/26 at 11:00 a.m. with certified nurse aide (CNA)/unlicensed assistive personnel (UAP) L during medication administration revealed:*The medication cart contained resident 7's medications.*The resident's Blink Tears Solution 0.25% (polyethylene glycol 400) (a medication to treat dry eye symptoms) eye drop pharmacy label on the medication container read: Instill 1 drop in both eyes every morning and at bedtime.*Her February 2026 medication administration record (MAR) read: Instill 1 drop in both eyes four times a day for macular degeneration.*CNA/UAP L agreed that resident 7's medication label for that medication did not match the 4/7/22 physician order on her MAR.*She did not know why…

  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.

  Pharmacy Service Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-09-19 · tag F0865 — failed to run a quality-improvement (QAPI) program — widespread
  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

  Based on interview, record review, quality assurance and performance improvement (QAPI) program review, and job description review, the provider failed to ensure an effective, ongoing, and comprehensive QAPI program was in place to track and measure performance; systematically analyze underlying causes of systemic quality deficiencies; develop and implement corrective action or performance improvement activities; and monitor or evaluate the effectiveness of the corrective action/performance improvement activities, and revise the actions, as needed. Findings include: 1. Interview on 9/19/24 at 5:28 p.m. with quality assurance (QA) specialist/certified medication assistant (CMA) I regarding the QAPI Program revealed: *She had been the QAPI coordinator for the past three years. *The committee met monthly. *The provider's medical director attended monthly. *They had developed and completed a performance improvement plan (PIP) for pressure ulcer prevention and treatment from 12/18/23 through 6/11/24. *There was not a current PIP in place. Continued interview with QA specialist/CMA 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.

  Administration Deficiencies · Deficient, Provider has date of correction
• Potential for harm · F2024-09-19 · tag F0880 — failed to prevent and control infections — widespread
  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 interview the provider failed to ensure they had not established and maintained an infection prevention and control program. Findings include: 1. Interview on 9/19/24 at 3:16 p.m. with interim director of nursing B revealed: *She stated she had not done anything with the infection control program in the month she had been there except make two binders. *She did not have updated policies and procedures for the program. *She was not doing any infection surveillance. *She stated she did not have a process in place for antibiotic stewardship and she did not have someone monitoring antibiotic use or orders. 2. Interview on 9/19/24 at 4:30 p.m. with administrator A revealed she agreed they did not did not have an active infection prevention and control program. 3. Interview on 9/19/24 at 5:28 p.m. with quality assurance specialist/certified medication assistant I revealed: *The former director of nursing had been the provider's infection preventionist but she had resigned from her position effective at the beginning of August 2024. *The provider had no current qualified infection…

  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

$96,127 in federal fines across 2 penalties.

• $75,645 — penalty dated 2026-02-20
• $20,482 — penalty dated 2024-09-19

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 $637K 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. 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 SD