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Good Samaritan Society Home Health

(308) 382-4054300 S. First Ave., Hastings, NE 68901
CMS Certification Number 287104 · Proprietary · Medicare-certified since 04/03/1996
9deficiencies since 2018
0serious
4inspections
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 2025-08-07

· Recertification · 1 deficiencies · CMS source report (PDF)
Moderate Track Adverse Patient Events

The agency failed to conduct a root cause analysis to identify the underlying cause preventing the agency from obtaining regulatory compliance, and failed to develop and implement an action plan to obtain and sustain regulatory compliance for deficiencies cited at G536, G572, and G808 on 1/30/25.…

Source: CMS Form 2567, inspection 2025-08-07, tag G0654 · view on CMS
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Inspection 2025-01-30

· Recertification · 8 deficiencies · CMS source report (PDF)
Moderate Plan Of Care

The agency failed to notify the patient's physician, when visits were not conducted as ordered on the plan of care, for 2 of 10 clinical records reviewed (Patient 2 and 4).

Source: CMS Form 2567, inspection 2025-01-30, tag G0572 · view on CMS
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Minor 5 Calendar Days After Start Of Care

The agency failed to complete a comprehensive assessment of the patient’s rehabilitative needs within 5 days of the start of care, for 1 of 3 patients who had orders for physical, occupational, and/or speech therapy, included on the plan of care (Patient 1).

Source: CMS Form 2567, inspection 2025-01-30, tag G0520 · view on CMS
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Minor A Review Of All Current Medications

The agency failed to ensure the patient's medication orders, on the Plan of Care and the medication profile (a real-time document used by the agency that lists the patient’s medications), were accurate for 1 or 10 patient records reviewed (Patient 2).

Source: CMS Form 2567, inspection 2025-01-30, tag G0536 · view on CMS
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Minor Only As Ordered By A Physician

The agency failed to ensure staff followed wound care treatment orders for 1 of 3 patients (Patient 6), who received wound care.

Source: CMS Form 2567, inspection 2025-01-30, tag G0580 · view on CMS
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Minor Promptly Alert Relevant Physician Of Changes

The agency failed to ensure staff promptly notify the patient's physician when a change in wound status occurred for 1 of 3 patient records reviewed (Patient 6), who received wound care.

Source: CMS Form 2567, inspection 2025-01-30, tag G0590 · view on CMS
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Minor Revised Plan Of Care

The agency failed to include the patient’s progress towards the patient’s measurable outcomes and goals identified by the agency and the patient, for 4 of 6 (Patient 4, 5, 6, and 7) patients who had a revised/updated Plan of Care.

Source: CMS Form 2567, inspection 2025-01-30, tag G0592 · view on CMS
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Minor Onsite Supervisory Visit Every 14 Days

The agency failed to conduct Registered Nurse (RN) supervisory visits, every 2 weeks, for home health aides providing basic therapeutic care (including, but not limited to measuring vital signs) for 1 or 1 record reviewed that had a Home Health Aide (Patient 4), and the agency's policy and…

Source: CMS Form 2567, inspection 2025-01-30, tag G0808 · view on CMS
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Minor In Accordance With Current Clinical Practice

The agency failed to ensure the Skilled Nurse (SN) followed the agency’s policy and procedure to perform wound measurements weekly for 1 of 3 patients (Patient 6) who received wound care.

Source: CMS Form 2567, inspection 2025-01-30, tag G0984 · view on CMS
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Inspection 2022-03-15

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

Inspection 2019-02-27

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