Good Samaritan Society Sioux Falls Center
GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD — inspection on September 5, 2025.
Found 9 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.
Inspection Findings
Review of the provider's revised 7/8/25 Call light Policy revealed:*Purpose to ensure residents always have a method of calling for assistance and to promptly answer resident's call light.
Review of the provider's revised 4/7/25 Abuse and Neglect policy revealed:*The resident/client has the right to be free from abuse, neglect, misappropriation of resident/client property and exploitation.
This includes but is not limited to freedom from corporal punishment and involuntary seclusion.
Residents/clients must not be subjected to abuse by anyone, including but not limited to, location employees, other residents/clients, consultants or volunteers, employees of other agencies serving the individual, family members or legal guardians, friends or other individuals.
Facility ID:
IDENTIFICATION NUMBER:
A.
Building
COMPLETED
09/05/2025
STREET ADDRESS, CITY, STATE, ZIP CODE
Good Samaritan Society Sioux Falls Center
401 West Second Street Sioux Falls, SD 57104
SUMMARY STATEMENT OF DEFICIENCIES
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0655 during a standard health inspection conducted on 2025-09-05.
Category: Resident Assessment and Care Planning Deficiencies
The facility was found deficient in the following area: Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted
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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0677 during a standard health inspection conducted on 2025-09-05.
Category: Quality of Life and Care Deficiencies
The facility was found deficient in the following area: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Review of resident 100's electronic medical record (EMR) revealed:*She was admitted to the facility on [DATE].*An [DATE] physician's order for ADVANCE DIRECTIVE: Do Not Resuscitate (DNR). 3.
Interview on [DATE] at 11:20 a.m. with DON B, who worked on [DATE], revealed:*On [DATE], RNA V found resident 100 unresponsive during the morning water pass.*DON B's office was in the area of resident 100's room.
She entered that room, assessed resident 100, and determined she was not breathing.*DON B asked certified nursing assistant (CNA) K resident 100's code status, and was told by CNA K that the resident's code status was a full code (all life-sustaining measures, including CPR, should be used during a medical emergency to attempt to restart a patient's heart and lungs).*Registered nurse (RN) W brought the crash cart to resident 100's room, and gave a second verbal confirmation that resident 100 was a full code.*DON B initiated CPR on resident 100, requested the automated external defibrillator (AED), and requested 911 to be called.*DON B provided CPR to resident 100 until emergency medical technicians (EMTs) arrived and assumed resident 100's emergency treatment.*DON B looked at the advanced directives binder and read that resident 100 had a DNR code status.*That written DNR code status was provided to the EMTs, and CPR was stopped.*DON B stated if she had known that resident 100 had a DNR code status, she would not have started CPR on resident 100.
There had been a miscommunication. 4.
Interview on [DATE] at 9:31 am with CNA K, who worked on [DATE], revealed:*She had responded to resident 100's room after resident 100 was found unresponsive.*CNA K told DON B that resident 100 was a full code.*CNA K had not looked at the advanced directives binder when she told DON B that.
She thought that resident 100 was a full code. 5.
Interview on [DATE] at 10:43 p.m. with clinical learning development specialist (CLDS) F revealed:*She was a CPR instructor and conducted the nursing staff skills fair and competencies.*When a resident was found unresponsive, staff were trained to check the resident's vitals (measurements of the body's basic functions, such as temperature, blood pressure, pulse, and respiration rate), obtain the crash cart and the advance directives binder to confirm the resident's code status before initiating CPR.*The advance directives binder and the residents' EMR identified each resident's physician-ordered code status.*She expected that CPR would not be initiated if a resident had a DNR code status. *She stated that it was the facility's policy for the nurse to check the resident's code status before starting CPR. *Review of the provider's [DATE] Advance Directive including Cardiopulmonary Resuscitation (CPR) and Automated External Defibrillator (AED) policy, revealed:*If cardiac arrest occurs, CPR must be initiated unless the resident has: a. A valid DNR order on file that includes the medical order issued by a physician.
Facility ID:
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0689 during a standard health inspection conducted on 2025-09-05.
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 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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0800 during a standard health inspection conducted on 2025-09-05.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Provide each resident with a nourishing, palatable, well-balanced diet that meets his or her daily nutritional and special dietary needs.
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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0806 during a standard health inspection conducted on 2025-09-05.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0812 during a standard health inspection conducted on 2025-09-05.
Category: Nutrition and Dietary Deficiencies
The facility was found deficient in the following area: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Scope/Severity Level F: widespread, 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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.
Federal health inspectors cited GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER in SIOUX FALLS, SD for a deficiency under regulatory tag F-F0880 during a standard health inspection conducted on 2025-09-05.
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 9 deficiencies cited during this inspection of GOOD SAMARITAN SOCIETY SIOUX FALLS CENTER.
Correction Status: Deficient, Provider has date of correction.
The facility reported correction as of 2025-10-14.