Good Samaritan Society - Windom: PASARR Screening Gaps - MN
The facility runs three whirlpool tub rooms, one per wing. Posted instructions in all three rooms walked staff through the cleaning process step by step, but left out a critical requirement: after applying disinfectant solution, staff were supposed to let it sit for 10 minutes before rinsing. That wet-contact time is what actually kills pathogens. None of the posted instructions mentioned it.
A nursing assistant in the south hall tub room told inspectors she followed the posted instructions exactly. She had no reason to do otherwise. The instructions simply didn't include the step.
The director of nursing told inspectors she would expect staff to allow the 10-minute contact time. The tub manufacturer's own disinfection guide, available online, lists it as Step 4.
The gap between what management expected and what the posted instructions actually told staff to do went uncorrected long enough that all 56 residents were affected.
A separate problem turned up the same afternoon. At 4:50 p.m., inspectors watched a licensed practical nurse prepare a nebulizer treatment for a resident identified in the report as R43. She walked to the counter, picked up the nebulizer already assembled there, opened the medication cup, and poured in the medication. Residue was visible inside the cup from the last treatment.
The nurse acknowledged it immediately. She told inspectors that after each treatment, staff were supposed to take the cup and mouthpiece apart, wash them with warm soapy water, rinse thoroughly, and leave them to air-dry. She said she should have cleaned the equipment or grabbed a fresh set before giving R43 his medication. She agreed that skipping that step carried the risk of a respiratory infection.
The director of nursing confirmed the same expectation. The facility's own nebulizer policy, dated December 2025, spelled out the same cleaning steps.
The nurse knew the protocol. The posted tub instructions didn't include theirs. In one case, staff followed the rules and still got it wrong. In the other, the rules were never posted at all.
Full Inspection Report
The details above represent a summary of key findings. View the complete inspection report for Good Samaritan Society - Windom 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 5, 2026 · Our methodology
Good Samaritan Society - Windom in WINDOM, MN was cited for violations during a health inspection on February 12, 2026.
The facility runs three whirlpool tub rooms, one per wing.
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.