Good Samaritan Nursing Home Operator, LLC

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0842 · severity code D · corrected Sep 25, 2026

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0655 · severity code D · corrected Sep 25, 2026

Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0628 · severity code D · corrected Sep 25, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected Sep 25, 2026

Provide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0677 · severity code E · corrected Jun 30, 2026

Provide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0697 · severity code E · corrected Jun 30, 2026

Provide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm (pattern) Quality of Life and Care

Tag F0695 · severity code E · corrected Jun 30, 2026

Educate residents and staff on COVID-19 vaccination, offer the COVID-19 vaccine to eligible residents and staff after education, and properly document each resident and staff member's vaccination status.

Potential for more than minimal harm (isolated) Infection Control

Tag F0887 · severity code D · corrected Jun 30, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm (isolated) Nutrition and Dietary

Tag F0812 · severity code D · corrected Jun 30, 2026

Provide the appropriate treatment and services to a resident who displays or is diagnosed with mental disorder or psychosocial adjustment difficulty, or who has a history of trauma and/or post-traumatic stress disorder.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0742 · severity code D · corrected Jun 30, 2026

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0686 · severity code D · corrected Jun 30, 2026

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0684 · severity code D · corrected Jun 30, 2026

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0657 · severity code D · corrected Jun 30, 2026

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0656 · severity code D · corrected Jun 30, 2026

Respond appropriately to all alleged violations.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0610 · severity code D · corrected Jun 30, 2026

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Potential for more than minimal harm (isolated) Freedom from Abuse, Neglect, and Exploitation Complaint

Tag F0609 · severity code D · corrected Jun 30, 2026

Reasonably accommodate the needs and preferences of each resident.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0558 · severity code D · corrected Jun 30, 2026

Allow residents to self-administer drugs if determined clinically appropriate.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0554 · severity code D · corrected Jun 30, 2026

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0550 · severity code D · corrected Jun 30, 2026

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

Potential for more than minimal harm (pattern) Nutrition and Dietary

Tag F0812 · severity code E · corrected Jun 15, 2025

Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0550 · severity code D · corrected Jun 15, 2025

Assess the resident when there is a significant change in condition

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning Complaint

Tag F0637 · severity code D · corrected Jun 15, 2025

Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0640 · severity code D · corrected Jun 15, 2025

Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.

Potential for more than minimal harm (isolated) Nutrition and Dietary Complaint

Tag F0803 · severity code D · corrected Jun 15, 2025

Provide or obtain dental services for each resident.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0791 · severity code D · corrected Jun 15, 2025

Provide safe, appropriate pain management for a resident who requires such services.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0697 · severity code D · corrected Jun 15, 2025

Provide safe and appropriate respiratory care for a resident when needed.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0695 · severity code D · corrected Jun 15, 2025

Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0688 · severity code D · corrected Jun 15, 2025

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0684 · severity code D · corrected Jun 15, 2025

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0655 · severity code D · corrected Jun 15, 2025

Ensure each resident receives an accurate assessment.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0641 · severity code D · corrected Jun 15, 2025

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Potential for more than minimal harm (isolated) Quality of Life and Care Complaint

Tag F0689 · severity code D · corrected Mar 3, 2025

Allow resident to participate in the development and implementation of his or her person-centered plan of care.

Potential for more than minimal harm (isolated) Resident Rights Complaint

Tag F0553 · severity code D · corrected Mar 3, 2025

Ensure each resident’s drug regimen must be free from unnecessary drugs.

Potential for more than minimal harm (pattern) Pharmacy Service

Tag F0757 · severity code E · corrected Aug 16, 2021

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Potential for more than minimal harm (isolated) Resident Assessment and Care Planning

Tag F0842 · severity code D · corrected Aug 16, 2021

Provide care and assistance to perform activities of daily living for any resident who is unable.

Potential for more than minimal harm (isolated) Quality of Life and Care

Tag F0677 · severity code D · corrected Aug 16, 2021

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0585 · severity code D · corrected Aug 16, 2021

Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.

Potential for more than minimal harm (isolated) Resident Rights

Tag F0561 · severity code D · corrected Aug 16, 2021