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Health Inspection

Good Samaritan Society - Bottineau

Inspection Date: September 11, 2025
Total Violations 12
Facility ID 355093
Location BOTTINEAU, ND
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Inspection Findings

F-Tag F0558

Resident Rights Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0558 during a standard health inspection conducted on 2025-09-11.

Category: Resident Rights Deficiencies

The facility was found deficient in the following area: Reasonably accommodate the needs and preferences of each resident.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0609

Freedom from Abuse, Neglect, and Exploitation Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0609 during a standard health inspection conducted on 2025-09-11.

Category: Freedom from Abuse, Neglect, and Exploitation Deficiencies

The facility was found deficient in the following area: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0637

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0637 during a standard health inspection conducted on 2025-09-11.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Assess the resident when there is a significant change in condition

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0641

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0641 during a standard health inspection conducted on 2025-09-11.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure each resident receives an accurate assessment.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0657

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0657 during a standard health inspection conducted on 2025-09-11.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0658

Resident Assessment and Care Planning Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0658 during a standard health inspection conducted on 2025-09-11.

Category: Resident Assessment and Care Planning Deficiencies

The facility was found deficient in the following area: Ensure services provided by the nursing facility meet professional standards of quality.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0686

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0686 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0689

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0690

Quality of Life and Care Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0690 during a standard health inspection conducted on 2025-09-11.

Category: Quality of Life and Care Deficiencies

The facility was found deficient in the following area: Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0849

Administration Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0849 during a standard health inspection conducted on 2025-09-11.

Category: Administration Deficiencies

The facility was found deficient in the following area: Arrange for the provision of hospice services or assist the resident in transferring to a facility that will arrange for the provision of hospice services.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0880

Infection Control Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-11.

Category: Infection Control Deficiencies

The facility was found deficient in the following area: Provide and implement an infection prevention and control program.

Scope/Severity Level E: pattern, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

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F-Tag F0921

Environmental Deficiencies
Harm Level: Potential for More Than Minimal Harm

Federal health inspectors cited GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND for a deficiency under regulatory tag F-F0921 during a standard health inspection conducted on 2025-09-11.

Category: Environmental Deficiencies

The facility was found deficient in the following area: Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

Scope/Severity Level D: isolated, no actual harm with potential for more than minimal harm.

While no actual harm was documented, there was potential for more than minimal harm to residents.

This was one of 12 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY - BOTTINEAU.

Correction Status: Deficient, Provider has date of correction.

The facility reported correction as of 2025-10-10.

📋 Inspection Summary

GOOD SAMARITAN SOCIETY - BOTTINEAU in BOTTINEAU, ND inspection on recent inspection.

Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.

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

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 BOTTINEAU, ND, (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 SOCIETY - BOTTINEAU or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.
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