Facility profile · CCN 165213
Good Samaritan Society - Forest City
11 federal citations on record , including 1 at the Immediate Jeopardy level, and 3 federal enforcement actions totaling $25,945.
Record summary
Federal record · Q1 202611
Total citations
11
Last 3 years
3
Actual harm+
3
Federal penalties
$25,945
Total fines
4
Overall ★ rating
Most common violation categories here
Most common F-tags at this facility
Citation history
11 on record| Survey | F-Tag | Violation | Severity | Source |
|---|---|---|---|---|
| Aug 7, 2025 | F600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | D | Complaint |
| Aug 7, 2025 | F690 | Provide appropriate care for residents who are continent or incontinent of bowel/bladder, appropriate catheter care, and appropriate care to prevent urinary tract infections. | D | Standard |
| Sep 5, 2024 | F689 | Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. | G | Complaint |
| Sep 5, 2024 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Complaint |
| Sep 5, 2024 | F812 | Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. | D | Standard |
| Sep 5, 2024 | F656 | Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. | D | Standard |
| Oct 19, 2023 | F805 | Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. | K | Standard |
| Oct 19, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | D | Standard |
| Oct 19, 2023 | F580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | D | Standard |
| Apr 25, 2023 | F684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | G | Complaint |
| Apr 25, 2023 | F658 | Ensure services provided by the nursing facility meet professional standards of quality. | D | Complaint |
Federal enforcement history
Federal regulators have imposed 3 enforcement actions against this facility, including 2 civil money penalties totaling $25,945 and 1 payment-denial actions spanning 4 days.
| Date | Type | Fine | Payment denial |
|---|---|---|---|
| Sep 5, 2024 | Fine | $8,824 | — |
| Oct 19, 2023 | Fine | $17,121 | — |
| Oct 19, 2023 | Payment Denial | — | Nov 17, 2023 · 4 days |
About this record
A citation is a finding by a state survey team working under federal contract. It is not a court
judgment. The description above is drawn verbatim from federal public datasets. Facilities have
the right to appeal findings through an Informal Dispute Resolution (IDR/IIDR) process.
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