KISSIMMEE, FL - Federal health inspectors identified six deficiencies at The Good Samaritan Society-Kissimmee Village during a standard health inspection completed on December 11, 2025, including a failure to properly coordinate resident assessments with required pre-admission screening programs.
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Facility Failed to Coordinate Required Resident Assessments
Among the deficiencies documented, inspectors cited the Kissimmee facility under federal regulatory tag F0644, which governs a nursing home's obligation to coordinate assessments with the Pre-Admission Screening and Resident Review (PASRR) program and to refer residents for appropriate services when needed.
The PASRR program is a federally mandated process designed to ensure that individuals with mental illness or intellectual disabilities are not inappropriately placed in nursing facilities when community-based services would better meet their needs. When a facility fails to coordinate with this program, residents may miss critical referrals for specialized psychiatric services, behavioral health support, or community placement opportunities that could significantly improve their quality of life.
The deficiency was classified at Scope/Severity Level D, meaning the issue was isolated in nature and no actual harm to residents was documented at the time of the inspection. However, inspectors determined there was potential for more than minimal harm, a designation indicating that the breakdown in assessment coordination could lead to meaningful negative outcomes for residents if left unaddressed.
Why Assessment Coordination Matters for Resident Safety
Proper coordination between nursing home assessments and the PASRR program serves as a critical safeguard in long-term care. The process requires facilities to identify residents who may have serious mental illness, intellectual disabilities, or related conditions, and then ensure those individuals receive appropriate specialized services.
When this coordination breaks down, several risks emerge. Residents with unidentified behavioral health needs may not receive appropriate therapeutic interventions. Individuals who could benefit from community-based programs may remain in institutional settings unnecessarily. And care plans may fail to account for the full scope of a resident's clinical needs, potentially leading to inadequate treatment protocols.
Federal regulations require nursing facilities to actively participate in the PASRR process, not simply acknowledge its existence. This includes conducting timely assessments, communicating findings to the appropriate state agencies, and following through on referral recommendations. The expectation is that facilities treat this as an ongoing responsibility rather than a one-time administrative task completed at admission.
Six Total Deficiencies and No Correction Plan
The assessment coordination failure was one of six deficiencies identified during the December 2025 inspection of Good Samaritan Society-Kissimmee Village. While the specific details of the remaining five citations were not included in this report, the cumulative number of findings suggests a pattern of regulatory compliance gaps at the facility.
Of particular concern is the facility's response to the findings. According to inspection records, the provider has not submitted a plan of correction for the cited deficiencies. Federal regulations require nursing homes to develop and submit detailed corrective action plans outlining how they will address each identified deficiency, what steps will prevent recurrence, and the timeline for achieving compliance.
The absence of a correction plan raises questions about the facility's commitment to resolving the documented issues. Under the federal survey process, facilities that fail to submit acceptable correction plans may face escalating enforcement actions, including civil monetary penalties, denial of payment for new admissions, or in severe cases, termination from participation in Medicare and Medicaid programs.
Industry Standards for Compliance
Accreditation organizations and long-term care industry groups consistently emphasize that effective PASRR coordination requires dedicated staff training, clear internal protocols, and regular auditing of assessment processes. Best-practice facilities typically designate specific team members to oversee PASRR compliance and build the screening coordination into their standard admission and reassessment workflows.
The Good Samaritan Society operates nursing and senior living facilities across multiple states. Residents and families seeking additional details about the December 2025 inspection findings can access the full inspection report through the Centers for Medicare and Medicaid Services (CMS) Care Compare database, which provides comprehensive records of nursing home survey results, staffing data, and quality measures for all Medicare- and Medicaid-certified facilities nationwide.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for The Good Samaritan Society-kissimmee Village from 2025-12-11 including all violations, facility responses, and corrective action plans.
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