Good Samaritan Society - Atkinson
Inspection Findings
F-Tag F0580
F 0580
Review of Resident 4's Nursing Progress Notes revealed the following:
Level of Harm - Minimal harm or potential for actual harm
- On 9/20/25 at 3:47 PM resident was found on the floor in the bathroom by the toilet. The resident's family had been notified, no evidence that the physician had been notified.
Residents Affected - Some
-On 10/11/25 at 4:45 AM resident transferred from bed to wheelchair, the wheel chair brakes were not locked and the wheel chair went out from underneath the resident. No injuries were noted. The resident's physician had been notified, no evidence that the family had been notified.
Interview with the DON on 10/22/25 at 11:00 AM verified the charge nurses were responsible for notifying
the resident's representative and the practitioner whenever a resident had a fall. The DON confirmed that Resident 4's physician was not notified of resident's fall on 9/20/25 at 3:47 PM and the family was not notified of the resident's fall on 10/11/25 at 4:45 AM.
FORM CMS-2567 (02/99) Previous Versions Obsolete
Event ID:
Facility ID:
If continuation sheet
Good Samaritan Society - Atkinson in Atkinson, NE inspection on recent inspection.
Found 0 violation(s). Severity: Standard violations. Status: 0 corrected, 0 pending.
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 Atkinson, NE, (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 - Atkinson or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.