BLOOMFIELD, NE - Good Samaritan Society - Bloomfield received five deficiencies during a federal complaint investigation completed on November 24, 2025, including a citation for failing to provide residents with adequate assistance for basic activities of daily living.
Facility Failed to Assist Residents With Basic Care Needs
Federal health inspectors cited the Bloomfield facility under regulatory tag F0677, which requires nursing homes to provide care and assistance to residents who are unable to independently perform activities of daily living. These activities — commonly referred to as ADLs — include fundamental tasks such as bathing, dressing, grooming, eating, toileting, and mobility.
The deficiency was classified at Scope/Severity Level D, indicating an isolated incident where no actual harm was documented but inspectors determined there was potential for more than minimal harm to residents. Under the federal classification system, Level D violations represent situations where a facility's failure has not yet resulted in injury but poses a credible risk if left unaddressed.
The citation was one of five total deficiencies identified during the complaint investigation, suggesting a pattern of regulatory shortcomings at the facility during this inspection cycle.
Why Activities of Daily Living Assistance Is Critical
Activities of daily living represent the most fundamental care obligations in any nursing home setting. When residents are admitted to long-term care facilities, it is typically because they can no longer independently manage these basic tasks. The entire premise of residential nursing care rests on the guarantee that trained staff will step in where residents cannot manage on their own.
Failure to provide ADL assistance can lead to a cascade of health complications. Residents who do not receive adequate bathing and hygiene support face increased risk of skin breakdown, infections, and pressure injuries. Those who are not assisted with eating and drinking may experience malnutrition and dehydration — conditions that can deteriorate rapidly in elderly populations. Inadequate toileting assistance can result in prolonged exposure to moisture, which is a primary risk factor for skin integrity problems and urinary tract infections.
Mobility assistance is equally critical. Residents who are not helped with repositioning, transfers, or ambulation face elevated fall risk and the potential for pressure ulcers from remaining in one position for extended periods. For elderly residents, a single fall can result in hip fractures or head injuries that significantly impact long-term health outcomes.
Federal Standards Require Comprehensive Care Planning
Under federal regulations, nursing facilities are required to assess each resident's functional capabilities and develop individualized care plans that address their specific ADL needs. Staff must be trained and available in sufficient numbers to carry out these care plans consistently.
The Centers for Medicare & Medicaid Services expects facilities to ensure that residents maintain their highest practicable level of functioning. This means not only assisting residents who cannot perform tasks independently but also encouraging and supporting those who retain partial ability to do so with supervision or limited help.
When a facility falls short of these requirements, it indicates potential gaps in staffing levels, staff training, or care plan implementation — any of which can place vulnerable residents at risk.
No Correction Plan on File
Perhaps the most concerning aspect of this citation is the facility's response — or lack thereof. As of the inspection record, Good Samaritan Society - Bloomfield is listed as "Deficient, Provider has no plan of correction." Federal regulations require cited facilities to submit a detailed plan outlining how they will address each deficiency and prevent recurrence.
The absence of a correction plan raises questions about the facility's commitment to resolving the identified care gaps. Facilities that do not submit timely correction plans may face escalating enforcement actions, including civil monetary penalties, denial of payment for new admissions, or other sanctions from state and federal regulators.
Good Samaritan Society - Bloomfield is part of the broader Evangelical Lutheran Good Samaritan Society, one of the largest nonprofit long-term care organizations in the United States. The organization operates facilities across multiple states.
Families of current and prospective residents can review the full inspection findings and the facility's complete compliance history through the CMS Care Compare database. The November 2025 complaint investigation results, including all five cited deficiencies, are available for public review on the NursingHomeNews.org facility page.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Good Samaritan Society - Bloomfield from 2025-11-24 including all violations, facility responses, and corrective action plans.
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