GOOD SAMARITAN SOCIETY-SCANDIA VILLAGE

πŸ“ 10560 APPLEWOOD RD, sister-bay, WI 54234 πŸ“ž 9208542317 πŸ›οΈ 50 beds

Overall Rating

⭐⭐⭐⭐⭐
5/5

Health Inspection

⭐⭐⭐⭐
4/5

Staffing

⭐⭐⭐⭐
4/5

Quality Measures

⭐⭐⭐⭐⭐
5/5

Inspection History Overview

63
Total Violations
6 years of data
$0
Total Fines
0 penalties
9
Inspections
Since 2014
21
Quality Metrics
Tracked measures

Health Violations by Year

2024 18 violations

Tag 0552 D Apr 24, 2024

Ensure that residents are fully informed and understand their health status, care and treatments.

βœ“ Corrected: May 24, 2024
Tag 0623 D Apr 24, 2024

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: May 24, 2024
Tag 0625 D Apr 24, 2024

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: May 24, 2024
Tag 0641 D Apr 24, 2024

Ensure each resident receives an accurate assessment.

βœ“ Corrected: May 24, 2024
Tag 0645 D Apr 24, 2024

PASARR screening for Mental disorders or Intellectual Disabilities

βœ“ Corrected: May 24, 2024
Tag 0655 D Apr 24, 2024

Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

βœ“ Corrected: May 24, 2024
Tag 0656 D Apr 24, 2024

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: May 24, 2024
Tag 0657 E Apr 24, 2024

Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.

βœ“ Corrected: May 24, 2024
Tag 0677 D Apr 24, 2024

Provide care and assistance to perform activities of daily living for any resident who is unable.

βœ“ Corrected: May 24, 2024
Tag 0684 D Apr 24, 2024

Provide appropriate treatment and care according to orders, resident’s preferences and goals.

βœ“ Corrected: May 24, 2024
Tag 0689 D Apr 24, 2024

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: May 24, 2024
Tag 0692 E Apr 24, 2024

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: May 24, 2024
Tag 0757 D Apr 24, 2024

Ensure each resident’s drug regimen must be free from unnecessary drugs.

βœ“ Corrected: May 24, 2024
Tag 0758 D Apr 24, 2024

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: May 24, 2024
Tag 0812 F Apr 24, 2024

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: May 24, 2024
Tag 0868 C Apr 24, 2024

Have the Quality Assessment and Assurance group have the required members and meet at least quarterly

βœ“ Corrected: May 24, 2024
Tag 0880 F Apr 24, 2024

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 24, 2024
Tag 0882 F Apr 24, 2024

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

βœ“ Corrected: May 24, 2024

2023 6 violations

Tag 0727 D May 30, 2023

Have a registered nurse on duty 8 hours a day; and select a registered nurse to be the director of nurses on a full time basis.

βœ“ Corrected: Jun 26, 2023
Tag 0689 G Apr 27, 2023

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: May 26, 2023
Tag 0690 D Apr 27, 2023

Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections.

βœ“ Corrected: May 26, 2023
Tag 0880 D Apr 27, 2023

Provide and implement an infection prevention and control program.

βœ“ Corrected: May 26, 2023
Tag 0625 D Feb 1, 2023

Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave.

βœ“ Corrected: Mar 1, 2023
Tag 0758 D Feb 1, 2023

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Mar 1, 2023

2022 23 violations

Tag 0580 D Dec 13, 2022

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

Tag 0607 E Dec 13, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Tag 0689 D Dec 13, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0842 D Dec 13, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag 0585 D Nov 23, 2022

Honor the resident's right to voice grievances without discrimination or reprisal and the facility must establish a grievance policy and make prompt efforts to resolve grievances.

Tag 0839 D Nov 23, 2022

Employ staff that are licensed, certified, or registered in accordance with state laws.

Tag 0883 D Nov 23, 2022

Develop and implement policies and procedures for flu and pneumonia vaccinations.

Tag 0552 D Nov 13, 2022

Ensure that residents are fully informed and understand their health status, care and treatments.

Tag 0609 D Nov 13, 2022

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

Tag 0610 E Nov 13, 2022

Respond appropriately to all alleged violations.

Tag 0607 D Nov 2, 2022

Develop and implement policies and procedures to prevent abuse, neglect, and theft.

Tag 0686 G Nov 2, 2022

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

Tag 0689 K Nov 2, 2022

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Tag 0725 F Nov 2, 2022

Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.

Tag 0732 C Nov 2, 2022

Post nurse staffing information every day.

Tag 0755 D Nov 2, 2022

Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.

Tag 0838 F Nov 2, 2022

Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations and emergencies.

Tag 0842 D Nov 2, 2022

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

Tag 0880 F Nov 2, 2022

Provide and implement an infection prevention and control program.

Tag 0882 F Nov 2, 2022

Designate a qualified infection preventionist to be responsible for the infection prevent and control program in the nursing home.

2020 5 violations

Tag 0580 G Jan 13, 2020

Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

βœ“ Corrected: Feb 28, 2020
Tag 0609 D Jan 13, 2020

Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.

βœ“ Corrected: Feb 28, 2020
Tag 0610 D Jan 13, 2020

Respond appropriately to all alleged violations.

βœ“ Corrected: Feb 28, 2020
Tag 0692 G Jan 13, 2020

Provide enough food/fluids to maintain a resident's health.

βœ“ Corrected: Feb 28, 2020
Tag 0842 D Jan 13, 2020

Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.

βœ“ Corrected: Jan 17, 2020

2019 5 violations

Tag 0623 B Mar 20, 2019

Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.

βœ“ Corrected: Apr 19, 2019
Tag 0656 D Mar 20, 2019

Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

βœ“ Corrected: Apr 19, 2019
Tag 0811 E Mar 20, 2019

Ensure that residents are assessed for appropriateness for a feeding assistant program, receive services as per their plan of care, and feeding assistants are trained and supervised.

βœ“ Corrected: Apr 19, 2019
Tag 0812 E Mar 20, 2019

Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

βœ“ Corrected: Apr 19, 2019
Tag 0689 D Jan 14, 2019

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Feb 14, 2019

2017 6 violations

Tag 0604 D Dec 7, 2017

Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.

βœ“ Corrected: Jan 7, 2018
Tag 0686 D Dec 7, 2017

Provide appropriate pressure ulcer care and prevent new ulcers from developing.

βœ“ Corrected: Jan 7, 2018
Tag 0689 D Dec 7, 2017

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

βœ“ Corrected: Jan 7, 2018
Tag 0726 C Dec 7, 2017

Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

βœ“ Corrected: Jan 7, 2018
Tag 0758 D Dec 7, 2017

Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.

βœ“ Corrected: Jan 7, 2018
Tag 0880 D Dec 7, 2017

Provide and implement an infection prevention and control program.

βœ“ Corrected: Jan 7, 2018

Detailed Inspection Reports

No detailed inspection reports available yet. Check back soon as we're processing new reports daily.

Fines and Penalties by Year

Fire Safety Deficiencies

Unknown Date

No description available

Inspection Survey Reports

Health

April 24, 2024
0.00

Health

May 30, 2023
0.00

Health

April 27, 2023
0.00

Health

February 1, 2023
0.00

Health

December 13, 2022
0.00

Health

November 23, 2022
0.00

Health

November 13, 2022
0.00

Health

November 2, 2022
0.00

Health

January 6, 2022
0.00

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Ownership Information

Non profit - Corporation
Independent (Not part of a chain)
525494
525494
9208542317
Door

Historical Ownership Records

August 25, 2025
Individual
August 25, 2025
Individual
August 25, 2025
Individual