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GOOD SAMARITAN SOCIETY - JACKSON Inspection Report, Violations & Safety Grade (JACKSON, Minnesota)

601 WEST JACKSON, JACKSON, Minnesota 56143

Phone: 5078473100

CMS Overall:4/5

Overview & Bed Count

Certified Beds
46
Avg Residents/Day
37.5
Ownership
Non profit - Corporation
Provider Type
Medicare and Medicaid
County
Jackson
Sprinkler Systems
Yes
Special Focus
None
Abuse Icon
No

CMS Star Ratings

Overall4/5
Health3/5
Staffing5/5
Quality4/5

Nurse Staffing Check

MetricThis FacilityMinnesota AvgDifference
RN Hours per Resident per Day1.031.08-0.05
Total Nurse Hours per Resident per Day3.964.27-0.31
CMS Staffing Rating5/54.2/5-
Nursing Staff Turnover34.1%42.1%-

Health Citation History

13 health citations on record

DateCategoryDescriptionSeverity
2026-07-31Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2026-07-31Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2026-07-31Freedom from Abuse, Neglect, and Exploitation DeficienciesDevelop and implement policies and procedures to prevent abuse, neglect, and theft.E – Moderate Harm Potential
2026-07-31Freedom from Abuse, Neglect, and Exploitation DeficienciesRespond appropriately to all alleged violations.E – Moderate Harm Potential
2026-07-31Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential
2026-07-31Resident Assessment and Care Planning DeficienciesCoordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.D – Moderate Harm Potential
2026-07-31Pharmacy Service DeficienciesProvide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.D – Moderate Harm Potential
2026-07-31Administration DeficienciesInform resident or representatives choice to enter into binding arbitration agreement and right to refuse.D – Moderate Harm Potential
2026-07-31Administration DeficienciesProvide behavior health training consistent with the requirements and as determined by a facility assessment.D – Moderate Harm Potential
2024-09-05Nutrition and Dietary DeficienciesProcure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.F – Moderate Harm Potential
2024-09-05Infection Control DeficienciesProvide and implement an infection prevention and control program.F – Moderate Harm Potential
2024-09-05Pharmacy Service DeficienciesEnsure medication error rates are not 5 percent or greater.D – Moderate Harm Potential
2024-01-31Freedom from Abuse, Neglect, and Exploitation DeficienciesTimely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.D – Moderate Harm Potential

Fire Safety Citation History

10 fire safety citations on record

DateCategoryDescriptionSeverity
2026-07-31Smoke DeficienciesProvide properly protected cooking facilities.F – Moderate Harm Potential
2026-07-31Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2026-07-31Gas, Vacuum, and Electrical Systems DeficienciesHave proper medical gas storage and administration areas.F – Moderate Harm Potential
2025-06-18Gas, Vacuum, and Electrical Systems DeficienciesHave generator or other power source capable of supplying service within 10 seconds.F – Moderate Harm Potential
2025-06-18Egress DeficienciesAdd doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.E – Moderate Harm Potential
2025-06-18Smoke DeficienciesInstall corridor and hallway doors that block smoke.D – Moderate Harm Potential
2024-09-05Egress DeficienciesHave exits that are accessible at all times.F – Moderate Harm Potential
2024-09-05Smoke DeficienciesInspect, test, and maintain automatic sprinkler systems.F – Moderate Harm Potential
2024-09-05Services DeficienciesEnsure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.F – Moderate Harm Potential
2024-09-05Miscellaneous DeficienciesTo conduct inspection, testing and maintenance of fire doors by qualified individuals.F – Moderate Harm Potential

Total Penalties & Fines

$0
Total Fine Amount (CMS)
0
Number of Fines
0
Total Penalties

No penalty records found.

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