Good Samaritan Society Sioux Falls Center

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.

43.6% 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 117 Medicare stays in Oct 2022–Sep 2024, and CMS’s own comparison — not ours.

Met the expected recovery: 58.8% 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 85 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 0.33 therapist hours per resident per day in 2026Q1 — more than 56% of the 13,892 homes that report any therapy hours at all.

Weekend therapy: weekend therapy hours are 4% 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 98 beds and averages 80.1 residents a day — about 82% occupied, or roughly 18 beds typically open. It usually has some room. This is a CMS average, not live availability — no public source publishes real-time vacancies, and a home can be full the day you call. Confirm with the home, and if you need a Medicaid bed specifically, ask about that separately: a home with open beds may still not have an open Medicaid bed.

Against a benchmark — not a legal minimum. In May 2024 CMS finalized the first federal staffing floor for nursing homes: 3.48 total nurse hours per resident per day, including 0.55 RN hours and 2.45 nurse-aide hours. Its hour requirements never took effect and are no longer on the books. Homes had until 2026 (2027 if rural) to comply, and that deadline never arrived: a federal court vacated the hour requirements in April 2025 (CMS has appealed), Congress then barred enforcement until 2034, and CMS formally repealed them by rule effective February 2026. This home is not required to meet these numbers, and is not violating anything by missing them. We still show the comparison because the figures are CMS’s own published estimate of adequate staffing, which makes them a useful yardstick — but they are our benchmark, not federal law: this home’s total nurse staffing of 3.58 hrs/resident/day is at or above the 3.48-hour benchmark and RN staffing of 0.87 is at or above the 0.55-hour RN benchmark and nurse-aide staffing of 2.10 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 3.14 hrs/resident/day on weekends vs 3.75 on weekdays — 16% thinner on weekends. RN hours go from 1.05 to 0.45 per resident-day. (Payroll-based daily records; the national median home is 15% thinner on weekends.)

This home’s total nursing-staff turnover of 44% 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 more than at the previous inspection — worsening. 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.

18 citations, most serious first. The 13 most serious are shown; the remaining 5 are one tap away and print in full.

• Actual harm · Gcited before2026-03-19 · 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

  Based on South Dakota Department of Health (SD DOH) facility reported Incident (FRI), interview, and policy review, the provider failed to protect three of three residents (1, 2, and 3) from verbal abuse by certified nursing assistant (CNA) D who yelled and cursed at resident 1, slammed resident 2's door after the resident requested to be assisted by a female staff member, and yelled at resident 3, who needed assistance with his colostomy (a surgically created opening in the abdomen that collects stool) bag. Resident 1 expressed feeling mad about his treatment by CNA D, resident 2 reported hearing resident 3 cry, and resident 3 was reported by licensed practical nurse (LPN) C to have cried and expressed statements of emotional stress after his treatment by CNA D.Findings Include: 1. Review of the 3/3/26 SD DOH FRI revealed that on 3/3/26 at 3:15 a.m., resident 1 reported to licensed practical nurse (LPN) C that CNA D yelled and cursed at him and then resident 1 told CNA D to leave his room.LPN C then answered resident 2's call light, who stated that CNA D became upset with 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Past Non-Compliance
• Actual harm · Gcited before2026-02-04 · 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 South Dakota Department of Health (SD DOH) facility-reported incident (FRI), interview, observation, record review, and policy review, the provider failed to ensure the safety and staff supervision of seven of seven sampled residents (1, 2, 3, 4, 5, 7, and 8) identified as needing supervision while smoking to prevent physical injury or harm, and specifically one of one sampled resident (1) who subsequently sustained a burn to his face. Findings include:1. Review of the 12/11/25 SD DOH FRI revealed:*On 12/11/25 at 10:20 p.m., resident 1 informed registered nurse (RN) M that he went outside into the facility's enclosed courtyard to smoke. When resident 1 lit his cigarette, an ember began to smolder in his winter hat. He removed his hat and placed it in the snow.*Resident 1 knew the door code to the locked exit door and did not inform any staff members before going out into the enclosed courtyard.*The camera footage review completed by administrator A revealed:-Resident 1 and resident 2 entered 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.

  Quality of Life and Care Deficiencies · Deficient, Provider has date of correction
• Actual harm · G2023-11-07 · 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 the South Dakota Department of Health (SD DOH) complaint intake information, record review, interview, and policy review, the provider failed to ensure consistent repositioning for one of one sampled resident (1) who was completely dependent on staff for all activities of daily living (ADLs) that included mobility and had a high risk for skin breakdown on admission. Findings include: 1. Review of the SD DOH complaint intake information revealed: *Resident 1 was admitted to the facility on [DATE] after an extended stay in an acute care facility due to a cardiac arrest with subsequent anoxic brain injury. *The resident had a large pressure wound to the sacral area. *Her tailbone was visible through the resident's sacral area. *The resident was unable to move or speak. *The resident was unable to perform any ADLs independently and was completely dependent on staff. 2. Review of resident 1's electronic medical record (EMR) revealed: *She was admitted on [DATE]. *Her age was 41 years. *Her diagnoses included…

  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 · E2026-03-19 · tag F0684 — failed to provide proper treatment and quality of care — pattern
  Provide appropriate treatment and care according to orders, resident’s preferences and goals.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to ensure the staff provided necessary care for four of four sampled residents (1, 2, 3, and 4) who did not receive a bath, bed bath, or shower as scheduled during the reviewed months of February 2026 and March 2026. Findings include: 1. Observation and interview on 3/18/26 at 11:05 a.m. with resident 4 revealed a strong smell of urine coming from his room with the door closed. The urine smell was stronger when the resident's door was opened. Resident 4 was in his wheelchair and wheeled himself out of his bathroom. There was an incontinence (involuntary urine or bowel leakage) protection pad on his bed. There were large urine stains on his bed sheets and incontinence protection pad. There was an empty urinal (a container used to urinate in) on his overbed table. Resident 4 appeared not to have showered or bathed in some time. His skin was dry and flaky, and his hair was greasy and tangled. He confirmed he required assistance with bathing and wished that he could get a bath or shower more than once…

  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 · D2026-02-04 · tag F0609 — failed to report abuse allegations — isolated
  Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI), record review, interview, and policy review, the provider failed to report a known serious bodily injury within the required time frame for one of one sampled resident (6) who fell and sustained a hip fracture. Findings include:1. Review of the provider's 11/11/25 SD DOH FRI (a required reporting of unexpected or adverse events) report revealed:*Resident 6 slipped out of her wheelchair, landed on her left hip, and reported left hip pain on 11/10/25 at 2:20 p.m.*Resident 6's physician ordered an X-ray of her left hip.*Administrator A and director of nursing (DON) B were notified of the fall.*The X-ray results showed resident 6 had a left intertrochanteric fracture of the femur (a common type of broken hip occurring in the upper part of the thigh bone [femur]), and the resident's daughter-in-law wanted to talk to the rest of the family before transferring the resident to the emergency department (ED).*On 11/11/25 at 7:30 a.m., resident 6's daughter-in-law informed clinical care leader (CCL) E 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.

  Freedom from Abuse, Neglect, and Exploitation Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Fcited before2025-09-05 · tag F0812 — failed to store, cook, and serve food safely — widespread
  Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation, interview, record review, and policy review, the provider failed to follow standard food safety practices to ensure:*A clean and sanitary environment was maintained to store, prepare, and serve food to residents in one of one kitchen, one of one kitchenette, one of one dining room serving counters, and two of two dining rooms. *Proper hand-washing and glove use by any observed kitchen staff during the preparation and serving of residents' food items.*Food temperatures were monitored and documented to ensure meals were served at a safe serving temperature to prevent the spread of food-borne illness. *Two of two kitchen personnel (cook H and food service worker X) wore beard nets according to the provider's policy. Findings include: 1. Observation on 9/2/25 at 1:15 p.m. of the main dining room revealed: *More than half of the tables had dirty dishes from lunch on them. *There were approximately 35 residents at tables getting ready for an activity, although there were still dirty dishes on those tables. Observation on 9/2/25 at 1:50 p.m. of the kitchen revealed:…

  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 · E2025-09-05 · 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 observation, interview, record review, and policy review, the provider failed to complete a baseline care plan and provide a written summary of the baseline care plan to the resident within 48 hours of their admission to the facility for four of six newly admitted sampled residents (14, 64, 67, and 85) reviewed who admitted to the facility in August 2025.Findings include:1. Observation and interview on 9/2/25 at 2:50 p.m. with resident 14 in his room revealed he:*Was frustrated about the communication he had received about his care since he had been admitted to the facility. He felt that the nursing staff had not given him enough information about his wound care and his positioning needs.*Felt that the dietary staff had not provided him with the correct diet or with the foods he preferred to eat.*Had not received a list of his medications or a copy of his baseline care plan when he was admitted to the facility approximately two weeks ago.*Pointed to an admission packet and stated that was 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.

  Resident Assessment and Care Planning Deficiencies · Deficient, Provider has date of correction
• Potential for harm · Ecited before2025-09-05 · tag F0800 — pattern
  Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
  What the surveyor found here — an excerpt from the official record, may be distressing

  Based on observation and interview, the facility failed to ensure that three of three residents (44, 81, 82) were provided with a nourishing, palatable, well-balanced diet that met their daily nutritional and dietary needs. 1. Interview on 9/3/25 at 8:50 a.m. with resident 81 revealed:*Hot food is frequently served cold.*She would sometimes not eat an item if it was not at an acceptable serving temperature because it was unpleasant to her.*The previous evening, they were served a cold sandwich and a cold bean salad. *No fruit or dessert was provided. 2. Interview on 9/3/25 at 8:50 a.m. with resident 44 revealed:*They are served cold sandwiches for three to four suppers every week.*She would prefer something warm in the evenings.*When she asked for something warm, she was not given a choice but provided mashed potatoes and gravy.*She dislikes hot dogs and doesn't like it when they are served.*She is not aware of other food choices. 3. Interview on 9/3/25 at 9:15 a.m. with resident 82 revealed:*The food is frequently very dry and hard for her to eat due to her lack of teeth.*Foods…

  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 · E2025-09-05 · tag F0806 — failed to honor food preferences — pattern
  Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, and record review, the provider failed to provide meals to meet the residents' satisfaction for eight of twenty-five sampled residents (14, 34, 44, 49, 52, 53, 67, and 82) who expressed dissatisfaction with the meal service regarding food quality, temperature, repetition, choices, and not accommodating the residents' food preferences and ordered diets Findings include:1. Observation and interview on 9/2/25 at 2:50 p.m. and again on 9/4/25 at 8:32 a.m. with resident 14 in his room revealed: *He ate his meals in his room and was frustrated about the food that he received. He had filled out a menu with his food choices, but the kitchen had not sent the food that he requested. *He was concerned that the dietary staff had not provided him with the correct diet or with the foods he preferred to eat. *No one had asked him about his meal preferences and the foods he liked to eat, so he often refused the fried food items they served until he requested that his diet be changed to include…

  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 · Ecited before2025-09-05 · 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, interview, and policy review, the provider failed to ensure proper infection control practices were followed by allowing clean resident lift slings to lay on the floor, failing to properly clean resident lifting devices, and allowing water to leak from ceiling in a storage closet.Findings include:1. Observation on 9/2/25 at 4:45 p.m., of a sit to stand lift (a mechanical lift used to assist from a seated to a standing position) had an unknown substance build-up where residents would place their hands while being lifted. 2. Observations on 9/3/25 at 1:30 p.m., 9/4/25 at 8:50 a.m., and again on 9/5/25 at 11:20 a.m. in the clean storage room on the second floor revealed:*Several lift slings were lying on the floor, and multiple slings that had been hanging on three of the four walls had been touching the floor.*Inside the storage room where the lift slings were stored, a sign was posted above the slings that had a red stop sign it and stated ALL STAFF PLEASE MAKE SURE SLINGS ARE NOT TOUCHING THE GROUND THANK YOU! 3. Interview on 9/4/25 at 9:00 a.m. with certified…

  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 · Dcited before2025-09-05 · 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

  Based on South Dakota Department of Health (SD DOH) complaint review, record review, interview, and policy review, the provider failed to protect the resident's right to be free from neglect and abuse for one of one sampled resident (4) who complained of prolonged wait times for his call light to be answered by staff and felt that had caused him to be incontinent of urine or bowel at times. The resident expressed that those instances caused him to feel less than human. Findings include:1. Review of the 2/7/25 SD DOH complaint intake report regarding resident 4 revealed:*Resident 4 had slept so long that he was incontinent of urine.*He turned on his call light, and after 30 minutes no one answered so he called the front desk.*He waited an additional 30 minutes before someone came to assist him.*He sat in urine for over an hour. 2. Review of resident 4's electronic medical record (EMR) revealed:*His Brief Interview for Mental Status (BIMS) assessment score on 12/5/24 was 15 which indicated his cognition was intact.*His Braden score on 12/2/24 was 16 which indicated he had a mild risk…

  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 · D2025-09-05 · tag F0677 — failed to help fully-dependent residents with daily care — isolated
  Provide care and assistance to perform activities of daily living for any resident who is unable.
  What the surveyor found here — an excerpt from the official record, may be distressing

  NOTE- TERMS IN BRACKETS HAVE BEEN EDITED TO PROTECT CONFIDENTIALITY Based on observation, interview, record review, and policy review, the provider failed to ensure bathing was provided and documented for two of two sampled residents (14 and 64) who were dependent on staff assistance with bathing. Findings include:1. Observation and interview on 9/2/25 at 2:50 p.m. and again on 9/4/25 at 8:32 a.m. with resident 14 in his room revealed:*He was told that he could shower, but he had not received a shower since he was admitted to the facility.*He had only received bed baths since he was admitted , but he felt that the bed baths were not very thorough. He wanted his hair washed.*On 9/4/25, a staff member had washed his back in the morning, and he wondered if that was considered his bath for the day. Review of resident 14's electronic medical record (EMR) revealed:*He was admitted on [DATE].*His 8/25/25 Brief Interview of Mental Status (BIMS) assessment score was 15, which indicated his cognition was intact.*His diagnoses included paraplegia (partial or complete loss of movement…

  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 · D2025-09-05 · 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 Based on South Dakota Department of Health (SD DOH) facility reported incident (FRI) review, record review, and interview, the provider failed to withhold cardiopulmonary resuscitation (CPR) for one of one resident (100) who had a do not resuscitate (DNR) code status (specifies the type of emergent treatment a person wishes to receive if their heart or breathing would stop) and was found unresponsive.Findings include:1. Review of the provider's [DATE] SD DOH FRI revealed:*On [DATE], resident 100 was found unresponsive by restorative nursing aide (RNA) V.*Director of nursing (DON) B initiated the provider's code blue process.*CPR [cardiopulmonary resuscitation] was initiated [by a facility staff member] and EMS [Emergency medical services] [was] called prior to the [resident's] DNR order being brought to the resident room. Code status was found via the advanced directive binder on the crash cart (a cart that stores medication and equipment for use during a medical emergency) per policy/procedure.*Upon EMS's…

  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

$54,936 in federal fines across 3 penalties.

• $14,380 — penalty dated 2026-03-19
• $29,295 — penalty dated 2026-02-04
• $11,261 — penalty dated 2023-11-07

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

Part of a chain

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

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

Who owns this facility

CMS files one row per role, so the 55 rows in the source record cover these 28 parties — each is shown once here with every role it holds. Nothing is omitted.

5 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 $1.3M paid to related parties — landlords or management companies under common ownership — equal to about 14% 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