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Complaint Investigation

Good Samaritan Society De Smet

October 23, 2025 · De Smet, SD · 411 Calumet Avenue Nw
Citations 3
CMS Rating 2/5
Beds 46
Provider ID 435074
Healthcare Facility
Good Samaritan Society De Smet
De Smet, SD  ·  View full profile →
Inspection Summary

GOOD SAMARITAN SOCIETY DE SMET in DE SMET, SD — inspection on October 23, 2025.

Found 3 citations. 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

FF0655
Resident Assessment and Care Planning Deficiencies
Potential for More Than Minimal Harm

Review of the provider's updated 12/2/24 Care Plan policy revealed:*Baseline care plan- Includes instructions needed to provide effective and person-centered care to the resident that meet professional standards of quality care.*A baseline care plan will be developed upon admission according to federal and state regulations.

The location [facility] must provide the resident and resident representative with a written summary of the baseline care plan.*The resident/family or legal representative will have the opportunity to participate in the planning of his or her care to the extent practicable.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Good Samaritan Society DE Smet

411 Calumet Avenue NW DE Smet, SD 57231

SUMMARY STATEMENT OF DEFICIENCIES

Review of the provider's 8/5/25 Facility Assessment revealed:*The facility assessment was used to determine what resources are necessary to care for its residents competently during both day-to-day operations and emergencies.*The question How do you staff on all shifts, including nights and weekends, to meet acquity [acuity] & [and] needs of residents? was answered, We staff by a per diem basis. We listen to feedback from our staff when they feel they could use more support, and what times of the day they could use support. We also listen to feedback from residents and families.

Part of our assessment of whether or not we are meeting residents' needs and have appropriate staffing is by reviewing our quality measures and outcomes.*There was no documentation of the current staffing levels.

Facility ID:

IDENTIFICATION NUMBER:

A.

Building

COMPLETED

10/23/2025

STREET ADDRESS, CITY, STATE, ZIP CODE

Good Samaritan Society DE Smet

411 Calumet Avenue NW DE Smet, SD 57231

SUMMARY STATEMENT OF DEFICIENCIES

Review of the provider's updated 7/7/25 Pressure Ulcer/Wound Care Resource Packet revealed:*The provider's wound care programs, pressure guidelines and protocols have been developed and implemented to provide quality services to our residents.*Programs may include. A comprehensive management program to prevent [the] development of pressure ulcers or other skin conditions (Braden, following interventions identified on care plan, nutritional intervention, specialty surfaces.).*Promotion of healing, pain management and prevention of complications is extremely important, as well as accurate assessment and documentation.* Wound Data Collection UDA [user defined assessment] completed by a licensed nurse and is required for documenting daily monitoring, is required at least weekly when skin integrity is impaired.*.The facility must ensure 1. A resident who enters the facility without pressure sores does not develop pressure sores unless the individual's clinical condition demonstrates that they were unavoidable.

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 DE SMET, SD, (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 DE SMET or from the state Department of Health. Reports include deficiency codes, facility responses, and correction timelines.


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