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Complaint Investigation

Good Samaritan Society - Larimore

November 5, 2025 · Larimore, ND · 501 E Front St
Citations 1
Beds 40
Provider ID 355097
Healthcare Facility
Good Samaritan Society - Larimore
Larimore, ND  ·  View full profile →
Inspection Summary

GOOD SAMARITAN SOCIETY - LARIMORE in LARIMORE, ND — inspection on November 5, 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.

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Inspection Findings

FF0686
Quality of Life and Care Deficiencies
Actual Harm

Review of the provider visit note failed to include reference of any skin issues or pressure ulcers.*10/08/25 .

Pressure ulcer to Sacrum/buttocks .

Comments: Fax sent to Dr. [name] wit [sic] wound updated to obtain order for wound clinic VA [veterans administration] referral . *10/11/25 at 5:40 p.m.

Health Status .

Late Entry: [entered into the electronic medical record on 10/24/25 at 12:18 p.m.] .

Received order to refer resident to VA for wound care.

Order entered and left voicemail for social worker to schedule appointment.*10/18/25 Wound name .

Unstageable pressure ulcer to buttock/Sacrum area .

Length 6.7 cm .

Width 6 cm .

Comments: resident encouraged to reposition self .*10/20/25 . unstageable p/u [pressure ulcer] with tunneling to Sacrum area. Is there drainage leaking around the dressing? Yes.

Describe the condition of tissue surrounding the dressing: macerated [soft and draining due to moisture exposure] and reddened. Is there a presence of possible complications .? Yes .

Describe: increasing drainage, odor, slough [shedding of dead tissue], and necrotic [dead] tissues and tunneling .

Describe dressing .

Calcium alginate [an absorbent dressing] and Mepilex .

Comments: Resident sent to . ER [emergency room] via ambulance .An emergency room note, dated 10/20/25, identified Resident #3 presented with ulcers and pain.

The resident was hospitalized with a stage 4 (the most severe type of pressure ulcer involving deep tissue damage, exposing muscle, tendon, or bone) pressure injury of the buttocks and acute cellulitis (bacterial skin infection that affects the deeper layers of the skin).During an interview on 11/5/25 at 4:00 p.m., an administrative staff member (#1) confirmed nursing staff failed to follow up with the requests for Resident #3's wound clinic referrals sent to the provider on 10/2/25 and 10/8/25, confirmed the provider failed to evaluate the resident's wound on 10/07/25, confirmed there were nine days between Resident #3's wound clinic referral order and coordination of the referral, and the medical record lacked documentation of repositioning.

The facility failed to implement a repositioning schedule and ensure wound care follow up in a timely manner which resulted in deterioration of Resident #3's pressure ulcers.

Facility ID:

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 LARIMORE, 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 - LARIMORE or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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