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Good Samaritan Society - Home Care

(507) 765-2700200 St Paul Street, Preston, MN 55965
CMS Certification Number 248009 · Non-Profit · Medicare-certified since 10/19/1994
6deficiencies since 2018
1serious
4inspections
4.5CMS quality stars
Data from CMS inspection reports (Form 2567), 2018-01-02 to 2026-10-15, downloaded 2026-10-21; CMS agency list file dated 2026-09-21. What the labels mean

Inspection 2026-01-22

· Recertification · 2 deficiencies · CMS source report (PDF)
Minor Plan Of Care Must Include The Following

The agency failed to ensure plans of care included a list of durable medical equipment (DME), including non-routine DME, used to meet patient needs, for 1 of 4 patients (P3) reviewed during home visits.

Source: CMS Form 2567, inspection 2026-01-22, tag G0574 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure wound care was administered to patients only as ordered by the physician, for 1 of 1 patient (P2), reviewed for wound care.

Source: CMS Form 2567, inspection 2026-01-22, tag G0580 · view on CMS
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Inspection 2023-06-28

· Recertification · no deficiencies cited · CMS source report (PDF)

Inspection 2021-09-29

· Complaint · 3 deficiencies · CMS source report (PDF)
Serious Patient Rights

The home health agency (HHA) failed to meet the Condition of Participation at 484.50, Patient Rights.

Source: CMS Form 2567, inspection 2021-09-29, tag G0406 · view on CMS
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Minor Be Free From Abuse

The home health agency (HHA) failed to ensure 1 of 1 patients (P1) was free from misappropriation of property when a staff was aware in July 2021, R1 dosage count of her oxycodone (narcotic pain medication) was short, and again was short in September 2021, however, did not report to the…

Source: CMS Form 2567, inspection 2021-09-29, tag G0430 · view on CMS
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Minor Immediate Reporting Of Abuse By All Staff

The agency failed to immediately report to the State Agency (SA), and administrator an allegation of misappropriation of property for 1 of 1 patients (P1), who had missing antianxiety medication Alprazolam and narcotic Hydrocodone for pain.

Source: CMS Form 2567, inspection 2021-09-29, tag G0488 · view on CMS
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Inspection 2019-09-19

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Infection Prevention

The agency failed to ensure appropriate infection control prevention measures including hand hygiene, were followed for 1 of 1 patient (P8) observed to have wound care provided during a home visit.

Source: CMS Form 2567, inspection 2019-09-19, tag G0682 · view on CMS
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