| Good Samaritan Society - Windom | |
| 705 Sixth Street, Windom, Minnesota 56101 | |
| (507) 831-1788 | |
| Name | Good Samaritan Society - Windom |
|---|---|
| Location | 705 Sixth Street, Windom, Minnesota |
| Certified By | Medicare and Medicaid |
| No. of Certified Beds | 63 |
| Occupancy Rate | 86.67% |
| Medicare ID (CCN) | 245558 |
| Legal Business Name | The Evangelical Lutheran Good Samaritan Society |
| Ownership Type | Non Profit - Corporation |
| Chain | Good Samaritan Society (92 nursing homes) |
| Chain Average Overall Rating | 3 out of 5 |
| NPI Number | 1447231113 |
| Match | Confirmed listed in Medicare enrollment records |
| Organization Name | The Evangelical Lutheran Good Samaritan Society |
| Doing Business As | Good Samaritan Society - Windom |
| Address | 705 6th St, Windom, MN 56101 |
| Phone Number | 507-831-1788 |
| Ratings from Surveys (Inspections): | |
| Ratings from Quality Measures: | |
| Ratings from Staffing Data: | |
| Overall Rating: |
|---|
| Staffing Measure | Provider | National Avg. |
|---|---|---|
| Total nurse staff hours per resident per day | 4.47 | 3.86 |
| Registered nurse (RN) hours per resident per day | 0.84 | 0.69 |
| Licensed practical nurse (LPN) hours per resident per day | 0.48 | 0.86 |
| Nurse aide hours per resident per day | 3.15 | 2.32 |
| Total nurse staff hours per resident per day on the weekend | 3.91 | 3.42 |
| RN hours per resident per day on the weekend | 0.43 | 0.48 |
| Physical therapist hours per resident per day | 0 | 0.07 |
| Total nursing staff turnover | 40.7% | 45.8% |
| Registered nurse turnover | 44.4% | 42.9% |
| Number of administrators who have left the nursing home | 0 | 0.5 |
| Cited for abuse, neglect or exploitation of residents (Care Compare abuse icon) | No |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $194,680 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Date | Deficiency | Harm Level | Status |
|---|---|---|---|
| Feb 12, 2026 | Have the Quality Assessment and Assurance group have the required members and meet at least quarterly F0868, Administration, Standard inspection | Potential for harm, widespread | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Give residents notice of Medicaid/Medicare coverage and potential liability for services not covered. F0582, Resident Rights, Standard inspection | Potential for harm, pattern | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. F0609, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Respond appropriately to all alleged violations. F0610, Freedom from Abuse, Neglect, and Exploitation, Standard inspection, Complaint inspection | Potential for harm, pattern | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. F0578, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Prevent the use of unnecessary psychotropic medications or use medications that may restrain a resident's ability to function. F0605, Freedom from Abuse, Neglect, and Exploitation, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Provide the required documentation or notification related to the resident's needs, appeal rights, or bed-hold policies. F0628, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Assure that each resident’s assessment is updated at least once every 3 months. F0638, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | PASARR screening for Mental disorders or Intellectual Disabilities F0645, Resident Assessment and Care Planning, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. F0684, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Assist a resident in gaining access to vision and hearing services. F0685, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Provide safe and appropriate respiratory care for a resident when needed. F0695, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist. F0755, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures. F0756, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Feb 12, 2026 | Ensure medication error rates are not 5 percent or greater. F0759, Pharmacy Service, Standard inspection | Potential for harm, isolated | Corrected by Mar 18, 2026 |
| Jan 27, 2026 | Provide appropriate pressure ulcer care and prevent new ulcers from developing. F0686, Quality of Life and Care, Complaint inspection | Immediate jeopardy, pattern | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. F0657, Resident Assessment and Care Planning, Complaint inspection | Potential for harm, pattern | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. F0580, Resident Rights, Complaint inspection | Potential for harm, isolated | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Provide or obtain dental services for each resident. F0791, Quality of Life and Care, Complaint inspection | Potential for harm, isolated | Corrected by Feb 25, 2026 |
| Jan 27, 2026 | Provide and implement an infection prevention and control program. F0880, Infection Control, Complaint inspection | Potential for harm, isolated | Corrected by Feb 25, 2026 |
| Dec 11, 2024 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Jan 17, 2025 |
| Dec 11, 2024 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. F0550, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 11, 2024 | 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. F0688, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Dec 11, 2024 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. F0690, Quality of Life and Care, Standard inspection | Potential for harm, isolated | Corrected by Jan 17, 2025 |
| Nov 2, 2023 | Employ sufficient staff with the appropriate competencies and skills sets to carry out the functions of the food and nutrition service, including a qualified dietician. F0801, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 18, 2023 |
| Nov 2, 2023 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. F0812, Nutrition and Dietary, Standard inspection | Potential for harm, widespread | Corrected by Dec 1, 2023 |
| Nov 2, 2023 | Provide and implement an infection prevention and control program. F0880, Infection Control, Standard inspection | Potential for harm, widespread | Corrected by Dec 5, 2023 |
| Nov 2, 2023 | Allow residents to self-administer drugs if determined clinically appropriate. F0554, Resident Rights, Standard inspection | Potential for harm, isolated | Corrected by Dec 6, 2023 |
| Quality Measure | Provider | National Avg. |
|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | 28.8 | 13.87 |
| Percentage of long-stay residents who lose too much weight | 10.61 | 5.19 |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 2.06 | 0.82 |
| Percentage of long-stay residents with a urinary tract infection | 0 | 1.59 |
| Percentage of long-stay residents who have depressive symptoms | 0.5 | 12.8 |
| Percentage of long-stay residents who were physically restrained | 0 | 0.13 |
| Percentage of long-stay residents experiencing one or more falls with major injury | 4.55 | 3.23 |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 97.27 | 93.55 |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 82.2 | 82.04 |
| Percentage of short-stay residents who newly received an antipsychotic medication | 7.58 | 1.56 |
| Percentage of long-stay residents whose ability to walk independently worsened | 30.63 | 14.07 |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 8.96 | 19.52 |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 94.12 | 95.46 |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 69.39 | 79.75 |
| Percentage of long-stay residents with pressure ulcers | 6.08 | 4.62 |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 27.99 | 19.01 |
| Percentage of long-stay residents who received an antipsychotic medication | 12.41 | 15.38 |