Good Samaritan Society-Stillwater: Infection Control Gap - MN
That was the situation at Good Samaritan Society Stillwater on the morning of February 11, when federal inspectors arrived and looked at the daily staff posting mounted at the reception desk. The posting listed a census of 35 residents. The facility's own electronic health record showed 34. The CNA count was off by two. And tucked behind that sheet, already loaded into the plastic display frame, were pre-printed postings for February 12 through February 15, each one showing a census of 35, each one pre-populated with staff numbers and hours that had nothing to do with who would actually be working those days.
Nobody had updated any of it.
The scheduler, interviewed that morning, explained how the system worked. Postings were printed roughly a week in advance and placed in the display stand at the front desk. Each night, someone from the night staff would pull the top sheet off and put it in a mailbox for recordkeeping. That was the process. The scheduler acknowledged the daily posting was not updated to reflect the actual census or the actual staff working each shift.
Inspectors had already been comparing the posted numbers against actual working schedules going back to February 1. The gap was consistent and, on some days, substantial. On February 4, the posting said six CNAs were working. The actual schedule showed nine. On February 8, the posting said seven CNAs. The real number was ten. On February 6 and February 7, the facility hadn't posted anything at all.
The director of nursing, interviewed the following morning, described a different process than what the scheduler had outlined, saying the scheduler printed the posting the day prior and it was posted in the morning. The director acknowledged the scheduler should be updating the information to reflect the actual census and daily staff numbers and hours so that the posted sheet displayed accurate data.
By the time that interview happened, at 10:44 a.m. on February 12, the posting on display was still dated February 11.
At 12:08 p.m. that same day, inspectors noted the February 11 sheet was still up. The administrator, interviewed three minutes later, confirmed it. The administrator said the expectation was that the daily posting would be current and accurate and reflect the current resident census and direct care staff numbers and hours.
That expectation had not been met for at least eleven consecutive days.
The staffing posting requirement exists so that residents and their families can see, in plain terms, how many nurses and aides are present on any given day. It is one of the few pieces of information a visitor can access without asking anyone. A family member stopping by on a weekend, trying to understand whether their parent is getting adequate attention, is supposed to be able to look at that sheet and trust it. At Good Samaritan Society Stillwater, that sheet was a placeholder, printed days earlier, never corrected, cycling off the wall each morning regardless of what it said.
The facility's own policy, dated December 1, 2025, less than three months before the inspection, stated that it was important to keep the report updated by making changes as they occur to the electronic schedule, and that a new report would need to be printed and posted. The policy was clear. The practice was not close to it.
Inspectors cited the violation as having the potential to affect all 34 residents and any visitors who might wish to review the information. The facility serves a population that depends on others to advocate for them. The posted numbers on the wall were, for eleven days running, a number someone had guessed at the week before.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Good Samaritan Society - Stillwater from 2026-02-12 including all violations, facility responses, and corrective action plans.
Additional Resources
Data source: Official federal inspection data from the Centers for Medicare & Medicaid Services (CMS).
Editorial process: AI-synthesized regulatory data, reviewed for accuracy by our editorial team.
Professional review: All content reviewed by Christopher F. Nesbitt, Sr., NH EMT & BU-trained Paralegal.
Last verified: August 4, 2026 · Our methodology
Good Samaritan Society - Stillwater in STILLWATER, MN was cited for violations during a health inspection on February 12, 2026.
The posting listed a census of 35 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.