BOTTINEAU, ND - Federal health inspectors identified 12 deficiencies at Good Samaritan Society - Bottineau during a standard health inspection conducted on September 11, 2025, including a citation for inadequate pressure ulcer prevention and treatment under federal regulatory tag F0686.
Pressure Ulcer Care Deficiencies
Inspectors determined that the facility failed to provide appropriate pressure ulcer care and to prevent new pressure ulcers from developing among its residents. The deficiency was classified at Scope/Severity Level D, indicating an isolated incident where no actual harm occurred but the potential existed for more than minimal harm.
Pressure ulcers, commonly known as bedsores, develop when sustained pressure reduces blood flow to the skin. They most frequently form on skin covering bony areas such as the heels, ankles, hips, and tailbone. For nursing home residents with limited mobility, these wounds represent a serious and often preventable medical condition.
When pressure ulcers are not properly managed, they can progress through four stages of increasing severity. Stage 1 involves reddened, intact skin. By Stage 4, the wound can extend deep into muscle and bone tissue. Advanced pressure ulcers carry significant risk of systemic infection, sepsis, and prolonged hospitalization. The Centers for Medicare and Medicaid Services considers pressure ulcer prevention a fundamental standard of nursing home care.
Federal Standards for Prevention
Under federal regulations, nursing facilities are required to maintain comprehensive skin assessment protocols for all residents, particularly those identified as high-risk. Standard clinical practice calls for regular repositioning schedules, typically every two hours for bed-bound residents, along with proper nutrition support, moisture management, and the use of pressure-redistributing surfaces such as specialized mattresses and cushions.
Facilities are expected to conduct thorough skin assessments upon admission, with ongoing evaluations at regular intervals and whenever a change in condition occurs. Care plans must be individualized and updated to reflect each resident's specific risk factors, including immobility, incontinence, nutritional status, and circulatory conditions.
When a pressure ulcer does develop, clinical protocols require prompt wound assessment, appropriate wound care interventions, and documentation of healing progress. Failure to follow these established protocols can result in wound deterioration that significantly impacts a resident's quality of life and overall health.
Broader Inspection Findings
The pressure ulcer citation was one of 12 total deficiencies identified during the September 2025 inspection. The volume of citations suggests inspectors found concerns across multiple areas of facility operations during their review. While the pressure ulcer deficiency was categorized under Quality of Life and Care Deficiencies, the full scope of the remaining 11 citations points to systemic issues that warranted regulatory attention.
A facility receiving 12 deficiencies in a single inspection cycle falls above the national average. According to CMS data, the typical nursing home receives between seven and eight deficiencies per standard health inspection. The elevated number at Good Samaritan Society - Bottineau indicates that regulators found a pattern of compliance gaps during their evaluation.
Facility Response and Correction
The inspection report noted the facility's status as "Deficient, Provider has date of correction." Good Samaritan Society - Bottineau reported completing its corrective actions as of October 10, 2025, approximately one month after the inspection date. Correction plans typically require facilities to demonstrate that they have implemented new procedures, retrained staff, and established monitoring systems to prevent recurrence.
Good Samaritan Society is a national nonprofit organization operating senior care facilities across multiple states. The Bottineau location serves residents in a rural area of north-central North Dakota.
What Families Should Know
Families with loved ones in nursing facilities should be aware that all federal inspection results are public record and available through the CMS Care Compare website. Key indicators to monitor include the number and severity of deficiencies, complaint investigations, and staffing levels. Regular communication with care staff and direct observation during visits remain important tools for ensuring residents receive appropriate care.
The full inspection report for Good Samaritan Society - Bottineau, including details on all 12 deficiencies identified during the September 2025 survey, is available for review through official CMS channels and on NursingHomeNews.org's [facility profile page](/facility/good-samaritan-society-bottineau).
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Good Samaritan Society - Bottineau from 2025-09-11 including all violations, facility responses, and corrective action plans.
💬 Join the Discussion
Comments are moderated. Please keep discussions respectful and relevant to nursing home care quality.