Good Samaritan Society Bethany: Dignity Violations - MN
A complaint inspection at Good Samaritan Society Bethany on October 2, 2025 found that staff failed to provide care in a manner that maintained or enhanced the dignity and individuality of residents. The citation, classified as having minimal harm or potential for actual harm, affected a small number of residents.
What makes the finding land harder is the timing. The facility's Resident Dignity policy had been reviewed in December 2024. Its Activities of Daily Living policy had been reviewed in December 2024. Both documents said the same things facilities always say: that staff will promote care in an environment that maintains or enhances each resident's dignity, that residents will be treated with respect in full recognition of their individuality, that appropriate treatment and services will support residents' well-being of mind, body, and soul.
Inspectors found the gap between those words and what residents actually experienced.
The dignity tag, known as F0550, is one of the more fundamental citations a nursing home can receive. It does not require a medication error or a fall or a wound left untreated. It requires only that the people living inside a facility be treated as people. That is the floor. At Good Samaritan Society Bethany, inspectors determined that floor had not been met for at least some of the residents living there.
The complaint nature of the inspection matters. This was not a routine annual survey where inspectors arrive on a schedule and staff know to expect them. Someone, a resident, a family member, a visitor, contacted authorities because something was wrong. The inspection was a direct response to that concern.
Good Samaritan Society Bethany sits at 804 Wright Street in Brainerd. The facility is part of the Good Samaritan Society network, one of the largest nonprofit providers of senior care in the country. The network's identity is built around the idea of compassionate, mission-driven care. The name itself carries that weight.
The inspection report does not describe in detail what inspectors observed, only that the standard for dignity was not met and that few residents were affected. The harm level was classified at the lower end of the scale. But harm classifications in federal nursing home inspections measure physical and medical outcomes. They do not measure what it costs a person to be treated without dignity in the place where they live, where they depend on others for the most basic functions of daily life, where they have often given up their homes and much of their independence to be there.
The Activities of Daily Living policy cited in the report covered things like helping residents maintain or improve their abilities, supporting their well-being across mind, body, and soul. That language suggests the facility understood, at least on paper, that residents are whole people, not a set of tasks to be completed on a shift.
Inspectors found otherwise.
The plan of correction for this deficiency is not included in the publicly available inspection document. For that information, the report directs readers to contact the facility or the state survey agency directly.
What the report does contain is the date the policies were last reviewed, December 2024, and the date inspectors arrived, October 2, 2025. Between those two dates, someone at Good Samaritan Society Bethany read the words about dignity and individuality and signed off on them. And somewhere in the months that followed, the gap opened up between the policy and the floor, and a resident, or more than one, experienced the difference.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Good Samaritan Society - Bethany from 2025-10-02 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: This article is based on inspection data downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases inspection reports in bulk; we publish the findings as documented by state surveyors in the official Form CMS-2567 Statement of Deficiencies.
Plan of correction: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to state survey agencies and those responses may not be reflected in CMS data at the time of publication. The absence of a plan of correction in our data does not mean one was not filed. Readers who want information about corrective steps taken are encouraged to contact the facility directly or their state survey agency.
Corrections may have occurred: Inspection reports reflect conditions observed on the date of the survey. Facilities may have implemented corrections, staffing changes, additional training, or other remediation since the report was issued. We report what CMS provides and encourage readers to seek current information from the facility.
Editorial process: Inspection findings are extracted from CMS source documents and synthesized using AI, reviewed for factual accuracy against the original report by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: September 10, 2026 · Our methodology
GOOD SAMARITAN SOCIETY - BETHANY in BRAINERD, MN was cited for violations during a health inspection on October 2, 2025.
The citation, classified as having minimal harm or potential for actual harm, affected a small number of residents.
Health inspections identify deficiencies that facilities must correct. Violations range from minor documentation issues to serious safety concerns. Review the full report below for specific details and facility response.