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Complaint Investigation

Good Samaritan Home

September 19, 2025 · Quincy, IL · 2130 Harrison Street
Citations 1
CMS Rating 5/5
Beds 203
Provider ID 145773
Healthcare Facility
Good Samaritan Home
Quincy, IL  ·  View full profile →
Source Document
Official CMS Inspection Report (Medicare.gov)
Downloaded from CMS/Medicare.gov. Reflects what state inspectors documented and does not include the facility's plan of correction, which is submitted separately. Facilities may have taken corrective actions since this report was released.
Inspection Summary

GOOD SAMARITAN HOME in QUINCY, IL — inspection on September 19, 2025.

Found 1 citation. Severity: Standard violations.

Health inspections identify deficiencies that facilities must correct within required timeframes. Violations range from minor documentation issues to serious safety concerns and are subject to follow-up verification.

Inspection Findings

FF0580
Resident Rights Deficiencies

was needing to go to the bathroom. (V11) and I assisted (R1) to the bathroom.

When (V11) and I

had to help guide it, to get (R1) on the toilet. (V11) went and got (V9/Agency LPN) because something

told (R1) that (V4/R1's Nurse Practitioner) was already aware from the day prior and that (V9) would just monitor (R1). I am not sure how (R1) got back to her room after lunch because I was called to work on a different unit for a few hours.

When I got back to the floor (V9) had asked me if I could come to (R1's) room and help (V9) assist (R1) to the bathroom.

This was around 3:00 PM.

When I got to (R1's) room (R1) stated she now was unable to move her left arm. I believe right after that is when (V9) got (R1) sent out to the hospital.On 9/18/25 at 12:39 PM, V4/R1's Nurse Practitioner stated she saw R1 on 9/10/25 at the facility. R1 told V4 she was having cramps in her legs, and it was worse at night along with vision changes. V4 stated she did initiate orders for V4, but at that time didn't see any stroke-like symptoms. V4 stated, (R1) could move her left leg up and down when I had seen her and had no problems with weakness. I did initiate orders for (R1's) complaints of leg cramps. I would have expected the facility to notify (V17/R1's Physician) or myself right away if (R1's) if (R1) was experiencing increased weakness or required more assistance with ADL's (Activities of Daily Living).On 9/19/25 at 10:02 AM, V2/Director of Nursing verified she would have expected a nurse to notify the resident's provider immediately with any significant changes in a resident's condition like R1 was experiencing on 9/11/25 when R1 first was requiring more assistance with ADL's and complaining of increased weakness and more severe vision changes.

Frequently Asked Questions

What is an F-tag violation?
F-tags are federal deficiency codes used by CMS to categorize nursing home violations. Each F-tag corresponds to a specific federal regulation (42 CFR Part 483). For example, F607 relates to abuse prevention policies, F880 relates to infection control.
Were these violations corrected?
Facilities must submit plans of correction and implement changes within required timeframes. CMS conducts follow-up inspections to verify corrections. Check the inspection report for specific correction dates and follow-up verification status.
How often do nursing home inspections happen?
CMS conducts unannounced inspections of all Medicare/Medicaid-certified nursing homes at least once per year. Additional inspections may occur based on complaints, facility-reported incidents, or follow-up to verify previous violations were corrected.
What should families do about these violations?
Families should: (1) Review the full inspection report for details, (2) Ask facility administration about specific corrective actions taken, (3) Check if this represents a pattern by reviewing prior inspections, (4) Compare with other facilities in QUINCY, IL, (5) Report new concerns to state authorities.
Where can I see the full inspection report?
Complete inspection reports are available on Medicare.gov's Care Compare website (www.medicare.gov/care-compare). You can also request copies directly from GOOD SAMARITAN HOME or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


More Reports

About This Inspection Report

Source: This inspection report was downloaded directly from the Centers for Medicare & Medicaid Services (CMS) via Medicare.gov. CMS releases nursing home inspection reports in bulk. The findings reflect what state surveyors documented in the official Form CMS-2567 Statement of Deficiencies on the date of the inspection.

Plan of correction not included: The CMS report we receive does not include the facility's plan of correction. Facilities submit plans of correction separately to their state survey agency and those responses may not appear in CMS public data at the time of release. The absence of a plan of correction in this report does not mean one was not filed. Readers who want information about corrective steps taken by the facility are encouraged to contact the facility or their state survey agency directly.

Corrections may have been made: This report reflects conditions observed on the date of the survey. The facility may have implemented staffing changes, additional training, policy revisions, or other corrective actions since this report was issued. We publish what CMS provides and encourage readers to seek current information from the facility.